Provider Demographics
NPI:1316783558
Name:MSC HEALTH TEXAS LLC
Entity type:Organization
Organization Name:MSC HEALTH TEXAS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-775-1600
Mailing Address - Street 1:10431 GULFDALE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4130
Mailing Address - Country:US
Mailing Address - Phone:210-775-1600
Mailing Address - Fax:210-742-1534
Practice Address - Street 1:10431 GULFDALE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4130
Practice Address - Country:US
Practice Address - Phone:210-775-1600
Practice Address - Fax:210-742-1534
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MSC HEALTH TEXAS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-08
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty