| Organization Name: | HORMONE WELLNESS CENTER OF TEXAS |
| NPI Number: | 1164834669 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RODNEY DELMONICO (GENERAL MANAGER) |
| Mailing Address: | 85 Ne Loop 410 Suite 402 San Antonio |
| State: | TX US |
| Postal Code: | 782165829 |
| Phone Number: | 2106792500 |
| Fax Number: | 2104772453 |
| NPI Enumeration Date: | 06/02/2014 |
| NPI Last Update Date: | 06/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |