Santa Maria Medical Group, Inc.dba/st. Mary's Phc
NPI #1538581863 in San Antonio, Texas
Provider Information
- NPI Number
- 1538581863
- Entity Type
- Organization
- Organization Name
- Santa Maria Medical Group, Inc.dba/st. Mary's Phc
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Jan 6, 2014
- Last Updated
- Jan 6, 2014
Practice Location
- Address
- 1003 FAIR AVE
- Address 2
- SUITE A
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78223-1327
- Phone
- (210) 389-5935
Authorized Official
- Name
- MR. WILLIAM CANELA
- Title
- ADMINISTRATOR
- Phone
- (210) 389-5935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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