Provider Demographics
NPI:1467598979
Name:DAUGHTERS OF CHARITY SERVICES OF SAN ANTONIO
Entity Type:Organization
Organization Name:DAUGHTERS OF CHARITY SERVICES OF SAN ANTONIO
Other - Org Name:LA MISION FAMILY HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF COMPLIANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-334-2306
Mailing Address - Street 1:7607 SOMERSET RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78211-3752
Mailing Address - Country:US
Mailing Address - Phone:210-334-2300
Mailing Address - Fax:
Practice Address - Street 1:19780 S US HIGHWAY 281
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-9731
Practice Address - Country:US
Practice Address - Phone:210-626-3854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center