Provider Demographics
NPI:1700960580
Name:DISABILITY SERVICES OF THE SOUTHWEST, INC
Entity Type:Organization
Organization Name:DISABILITY SERVICES OF THE SOUTHWEST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:N
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-798-0123
Mailing Address - Street 1:6243 IH 10 WEST
Mailing Address - Street 2:STE 375
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201
Mailing Address - Country:US
Mailing Address - Phone:210-798-0123
Mailing Address - Fax:210-785-6649
Practice Address - Street 1:6243 IH 10 WEST
Practice Address - Street 2:SUITE 375
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201
Practice Address - Country:US
Practice Address - Phone:210-798-0123
Practice Address - Fax:210-785-6649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 251E00000X, 251J00000X, 3747P1801X
TX251X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No251X00000XAgenciesSupports BrokerageGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX008033OtherHCSSA
TX017075OtherHCSSA
TX017316OtherHCSSA
TX004154OtherHCSSA
TX017842OtherHCSSA
TX185516501Medicaid
TX185516502Medicaid
TX015918OtherHCSSA
TX007652OtherHCSSA
TX007556OtherHCSSA
TX007572OtherHCSSA