Organization
GUADALUPE COUNTY HOSPITAL BOARD
Active
Other names
San Pedro Manor
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (SECRETARY OF MANAGEMENT COMPANY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
515 W ASHBY PL, SAN ANTONIO, TX 78212-3802
(210) 732-5181
(210) 732-8663
Mailing address
515 W ASHBY PL, SAN ANTONIO, TX 78212-3898
(210) 732-5181
(210) 737-6721
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005211
—
TX
Enumeration date
09/07/2005
Last updated
03/26/2026
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