| Organization Name: | PROFESSIONAL PERFORMANCE DEVELOPMENT GROUP, INC |
| NPI Number: | 1942545439 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ADRIANA VALDEZ (CREDENTIALING COORDINATOR) |
| Mailing Address: | 5441 Babcock Rd Suite 200 San Antonio |
| State: | TX US |
| Postal Code: | 782403993 |
| Phone Number: | 2102533821 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2012 |
| NPI Last Update Date: | 12/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | 0202206245 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |