| Organization Name: | SOUTH TEXAS VETERANS HEALTH CARE SYSTEMS |
| NPI Number: | 1235248287 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLTON JAY KIZZIE (PHYSICIAN ASSISTANT) |
| Mailing Address: | 7400 Merton Minter St 112b San Antonio |
| State: | TX US |
| Postal Code: | 782294404 |
| Phone Number: | 2106175300 |
| Fax Number: | 2106175300 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | PA03282 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |