Provider Demographics
NPI:1013337914
Name:NORTH HILLS FAMILY MEDICINE, PA
Entity type:Organization
Organization Name:NORTH HILLS FAMILY MEDICINE, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTIONER
Authorized Official - Prefix:
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 1:11212 STATE HWY. 151
Practice Address - Street 2:BLDG. 2, STE 201
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251
Practice Address - Country:US
Practice Address - Phone:210-681-5747
Practice Address - Fax:210-681-7515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-18
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX699979363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty