Organization
MEDTRONIX HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM MICHAELS MD (OWNER)
(210) 870-0923
Entity
Organization
Contact information
Practice address
3425 WURZBACH RD, SAN ANTONIO, TX 78238-4069
(210) 870-0923
Mailing address
4114 MEDICAL DR, SUITE 9301, SAN ANTONIO, TX 78229-5607
(210) 870-0923
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
L0869
TX
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
L0869
TX
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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