Provider Demographics
NPI:1639200868
Name:NORTH HILLS FAMILY MEDICINE
Entity Type:Organization
Organization Name:NORTH HILLS FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RENATO
Authorized Official - Middle Name:A
Authorized Official - Last Name:GERALDE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:210-481-6800
Mailing Address - Street 1:150 E SONTERRA BLVD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4098
Mailing Address - Country:US
Mailing Address - Phone:210-481-6800
Mailing Address - Fax:210-481-1444
Practice Address - Street 1:150 E SONTERRA BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4098
Practice Address - Country:US
Practice Address - Phone:210-481-6800
Practice Address - Fax:210-481-1444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0728207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8R9600OtherBLUE CROSS BLUE SHIELD
TX00485YMedicare PIN