| Organization Name: | WESTOVER HILLS CLINIC,PA |
| NPI Number: | 1144407990 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROLINE HERNANDEZ (OWNER) |
| Mailing Address: | 1423 Guadalupe St Suite 105 San Antonio |
| State: | TX US |
| Postal Code: | 782075527 |
| Phone Number: | 2102247545 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2008 |
| NPI Last Update Date: | 02/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | L7752 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |