Provider Demographics
NPI:1659076131
Name:FACT CONSULTING OF SA, LLC
Entity Type:Organization
Organization Name:FACT CONSULTING OF SA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TOBI
Authorized Official - Middle Name:J
Authorized Official - Last Name:AGUIGUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-687-4037
Mailing Address - Street 1:12042 BLANCO RD STE 120
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-5445
Mailing Address - Country:US
Mailing Address - Phone:210-687-4037
Mailing Address - Fax:
Practice Address - Street 1:12042 BLANCO RD STE 120
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5445
Practice Address - Country:US
Practice Address - Phone:210-687-4037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty