Organization
CONVIVA MEDICAL CENTER MANAGEMENT OF TEXAS, PLLC
Active
Parent organization
CONVIVA MEDICAL CENTER MANAGEMENT OF TEXAS, PLLC
Other names
Conviva Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONVIVA MEDICAL CENTER MANAGEMENT OF TEXAS, PLLC
Authorized official
GIOANY BACON-WILLIAMS (DIRECTOR, PROVIDER CONTRACTING)
(210) 608-2110
Entity
Organization
Contact information
Practice address
18414 US HIGHWAY 281 N STE 104, SAN ANTONIO, TX 78259
(210) 495-0222
(210) 495-5914
Mailing address
6101 BLUE LAGOON DR STE 400, MIAMI, FL 33126-2051
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
01/31/2013
Last updated
05/20/2025
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