Provider Demographics
NPI:1205043882
Name:THE MEDICAL TEAM, INC.
Entity Type:Organization
Organization Name:THE MEDICAL TEAM, INC.
Other - Org Name:THE MEDICAL TEAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE AR MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:021-022-7900
Mailing Address - Street 1:45 NE LOOP 410 STE 800
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-5837
Mailing Address - Country:US
Mailing Address - Phone:210-227-9000
Mailing Address - Fax:985-872-3263
Practice Address - Street 1:45 NE LOOP 410 STE 800
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5837
Practice Address - Country:US
Practice Address - Phone:210-227-9000
Practice Address - Fax:210-224-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX547491251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457491OtherMEDICARE AND NON-MEDICARE
TX457491Medicaid