| Texas Center For Infectious Disease | |
|
2303 Se Military Dr San Antonio TX 78223-3542 | |
| (210) 531-7809 | |
| (210) 531-7796 |
| Full Name | Texas Center For Infectious Disease |
|---|---|
| Speciality | Clinic/center |
| Location | 2303 Se Military Dr, San Antonio, Texas |
| Authorized Official Name and Position | Hector C Baltierra (TEAM LEAD) |
| Authorized Official Contact | 5122065011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Center For Infectious Disease 4110 Guadalupe St Hospital Revenue Mgmt-mc2028 Austin TX 78751-4223 Ph: (512) 206-5011 | Texas Center For Infectious Disease 2303 Se Military Dr San Antonio TX 78223-3542 Ph: (210) 531-7809 |
| NPI Number | 1316000144 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316000144 | NPI | - | NPPES |
| 1332579-04 | Medicaid | TX | |
| HH4568 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
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