Provider Demographics
NPI:1013057702
Name:SAN ANTONIO URGENT CARE, PA
Entity type:Organization
Organization Name:SAN ANTONIO URGENT CARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:R
Authorized Official - Last Name:ENGLERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-641-6559
Mailing Address - Street 1:9711 HUEBNER
Mailing Address - Street 2:BLDG 2
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3163
Mailing Address - Country:US
Mailing Address - Phone:210-641-6559
Mailing Address - Fax:210-699-9968
Practice Address - Street 1:9711 HUEBNER
Practice Address - Street 2:SUITE 3
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3163
Practice Address - Country:US
Practice Address - Phone:210-641-6559
Practice Address - Fax:210-699-9968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153751601Medicaid
TX153751601Medicaid