Provider Demographics
NPI:1508207754
Name:TEXCARE HEALTHCARE SYSTEM
Entity Type:Organization
Organization Name:TEXCARE HEALTHCARE SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEGHAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-541-8111
Mailing Address - Street 1:1915 LA MANDA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-2228
Mailing Address - Country:US
Mailing Address - Phone:210-541-8111
Mailing Address - Fax:210-541-8110
Practice Address - Street 1:1915 LA MANDA BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-2228
Practice Address - Country:US
Practice Address - Phone:210-541-8111
Practice Address - Fax:210-541-8110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00000000000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX801794021OtherTEXAS SECRETARY OF STATE