Provider Demographics
NPI: | 1629519400 |
---|---|
Name: | THE MEDICAL TEAM, INC. |
Entity Type: | Organization |
Organization Name: | THE MEDICAL TEAM, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CORPORATE ACCOUNTS RECEIVABLE MGR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ANGELIQUE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HARRIS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 210-227-9000 |
Mailing Address - Street 1: | 45 NE LOOP 410 |
Mailing Address - Street 2: | SUITE 800 |
Mailing Address - City: | SAN ANTONIO |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78216-5832 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 210-227-9000 |
Mailing Address - Fax: | 210-224-2020 |
Practice Address - Street 1: | 45 NE LOOP 410 STE 800A |
Practice Address - Street 2: | |
Practice Address - City: | SAN ANTONIO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78216-5832 |
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: | 2017-03-14 |
Last Update Date: | 2023-10-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 018123 | 251G00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251G00000X | Agencies | Hospice Care, Community Based |