Organization
PHAROS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR YOUSSEF (MANGER)
(210) 995-4193
Entity
Organization
Contact information
Practice address
4950 WOODSTONE DR, SAN ANTONIO, TX 78230-1186
(210) 995-4193
Mailing address
4950 WOODSTONE DR, SAN ANTONIO, TX 78230-1186
(210) 995-4193
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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