Provider Demographics
NPI:1164834669
Name:HORMONE WELLNESS CENTER OF TEXAS
Entity Type:Organization
Organization Name:HORMONE WELLNESS CENTER OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DELMONICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-534-1564
Mailing Address - Street 1:85 NE LOOP 410
Mailing Address - Street 2:SUITE 402
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-5829
Mailing Address - Country:US
Mailing Address - Phone:210-679-2500
Mailing Address - Fax:210-477-2453
Practice Address - Street 1:85 NE LOOP 410
Practice Address - Street 2:SUITE 402
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5829
Practice Address - Country:US
Practice Address - Phone:210-679-2500
Practice Address - Fax:210-477-2453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty