| Organization Name: | UTHSCSA |
| NPI Number: | 1629369954 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRAIG BRYAN (CLINICAL DIRECTOR) |
| Mailing Address: | 7550 W Ih 10 Suite 1325 San Antonio |
| State: | TX US |
| Postal Code: | 782295803 |
| Phone Number: | 2102162659 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2011 |
| NPI Last Update Date: | 04/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | 53927 |
| 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. |