| City Of San Antonio Metropolitan Health District | |
|
332 W. Commerce San Antonio TX 78205-2409 | |
| (210) 207-8731 | |
| (210) 207-8999 |
| Full Name | City Of San Antonio Metropolitan Health District |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 332 W. Commerce, San Antonio, Texas |
| Authorized Official Name and Position | Julie Sandoval (DEPARTMENT FISCAL ADMINISTRATOR) |
| Authorized Official Contact | 2102075738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of San Antonio Metropolitan Health District 332 W Commerce San Antonio TX 78205-2409 Ph: (210) 207-8731 | City Of San Antonio Metropolitan Health District 332 W. Commerce San Antonio TX 78205-2409 Ph: (210) 207-8731 |
| NPI Number | 1023110194 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023110194 | NPI | - | NPPES |
| 0913089-02 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 21503 (Texas) | Primary |
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