Organization Name: | THI OF TEXAS AT SAN ANTONIO I, LLC |
NPI Number: | 1518054790 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA WARLOW (PRESIDENT) |
Mailing Address: | 4204 Gardendale St Suite 210 San Antonio |
State: | TX US |
Postal Code: | 782293132 |
Phone Number: | 2106920949 |
Fax Number: | 2106920906 |
NPI Enumeration Date: | 10/07/2006 |
NPI Last Update Date: | 10/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |