Provider Demographics
NPI:1659401701
Name:FAMILYPHYSICIANS HEALTHCARENETWORK
Entity Type:Organization
Organization Name:FAMILYPHYSICIANS HEALTHCARENETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-646-0404
Mailing Address - Street 1:13909 NACOGDOCHES RD
Mailing Address - Street 2:107
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-1299
Mailing Address - Country:US
Mailing Address - Phone:210-646-0404
Mailing Address - Fax:210-653-3896
Practice Address - Street 1:13909 NACOGDOCHES RD
Practice Address - Street 2:107
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-1299
Practice Address - Country:US
Practice Address - Phone:210-646-0404
Practice Address - Fax:210-653-3896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care