Provider Demographics
NPI:1750593760
Name:METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS
Entity type:Organization
Organization Name:METHODIST HEALTHCARE MINISTRIES OF SOUTH TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-692-0234
Mailing Address - Street 1:4507 MEDICAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4401
Mailing Address - Country:US
Mailing Address - Phone:210-692-0234
Mailing Address - Fax:
Practice Address - Street 1:WESLEY PRIMARY CARE CLINIC
Practice Address - Street 2:1406 FITCH STREET
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78211
Practice Address - Country:US
Practice Address - Phone:210-922-6922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center