Provider Demographics
NPI:1477813186
Name:SIGNAL PEDIATRICS HOME CARE LLC
Entity Type:Organization
Organization Name:SIGNAL PEDIATRICS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-382-6065
Mailing Address - Street 1:4538 CENTERVIEW
Mailing Address - Street 2:SUITE 222
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-1319
Mailing Address - Country:US
Mailing Address - Phone:210-382-6065
Mailing Address - Fax:210-468-0537
Practice Address - Street 1:4538 CENTERVIEW
Practice Address - Street 2:SUITE 222
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1319
Practice Address - Country:US
Practice Address - Phone:210-382-6065
Practice Address - Fax:210-468-0537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health