Organization
ACCORD MEDICAL MANAGMENT, LP
Active
Other names
Nix Health Care System
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESTER E SURROCK CPA (SENIOR VICE PRESIDENT & CFO)
(210) 271-2190
Entity
Organization
Contact information
Practice address
414 NAVARRO ST, 20TH FLOOR, SAN ANTONIO, TX 78205-2516
(210) 271-2188
(210) 271-2023
Mailing address
414 NAVARRO ST, SUITE 600, SAN ANTONIO, TX 78205-2516
(210) 271-2188
(210) 271-2023
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000396
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021850501
—
TX
01
—
HH0167
BLUE CROSS PROVIDER NO
TX
Enumeration date
04/04/2006
Last updated
08/17/2018
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