Provider Demographics
NPI:1942713128
Name:DAUGHTERS OF CHARITY SERVICES OF SAN ANTONIO
Entity Type:Organization
Organization Name:DAUGHTERS OF CHARITY SERVICES OF SAN ANTONIO
Other - Org Name:LA MISION FAMILY HEALTHCARE AND DE PAUL FAMILY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF COMMUNITY HEALTH AND SO
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:HUMBERTO
Authorized Official - Last Name:SOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:DRPH
Authorized Official - Phone:210-334-2300
Mailing Address - Street 1:7607 SOMERSET RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78211-3752
Mailing Address - Country:US
Mailing Address - Phone:210-334-2300
Mailing Address - Fax:210-922-0332
Practice Address - Street 1:7607 SOMERSET RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211-3752
Practice Address - Country:US
Practice Address - Phone:210-334-2300
Practice Address - Fax:210-922-0332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center