Provider Demographics
NPI:1376031500
Name:MORNINGSIDE MINISTRIES
Entity Type:Organization
Organization Name:MORNINGSIDE MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:NORA
Authorized Official - Middle Name:
Authorized Official - Last Name:OVALLE-RENDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-734-1010
Mailing Address - Street 1:700 BABCOCK RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-2600
Mailing Address - Country:US
Mailing Address - Phone:210-734-1000
Mailing Address - Fax:210-734-1111
Practice Address - Street 1:700 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-2600
Practice Address - Country:US
Practice Address - Phone:210-734-1000
Practice Address - Fax:210-734-1111
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORNINGSIDE MINISTRIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty