Provider Demographics
NPI:1255454054
Name:HOWARD FAMILY PRACTICE ASSOCIATES P A
Entity type:Organization
Organization Name:HOWARD FAMILY PRACTICE ASSOCIATES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:H
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:210-225-8904
Mailing Address - Street 1:505 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-5532
Mailing Address - Country:US
Mailing Address - Phone:210-225-8904
Mailing Address - Fax:210-225-0624
Practice Address - Street 1:505 HOWARD ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5532
Practice Address - Country:US
Practice Address - Phone:210-225-8904
Practice Address - Fax:210-225-0624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX108508064427OtherHUMANA
TX60005077OtherTEXAS CONTROLLED SUBSTANC
TX085753401Medicaid
TX085753402Medicaid
TX2316850OtherBLUE LINK
TX00U72ZOtherBCBS
TX4081548OtherAETNA PROVIDER
TXG66667000OtherQUEST ACCOUNT #
TXG66667000OtherQUEST ACCOUNT #
TX4081548OtherAETNA PROVIDER