Provider Demographics
NPI: | 1326829904 |
---|---|
Name: | THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO |
Entity type: | Organization |
Organization Name: | THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | SENIOR EXECUTIVE VICE PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ANDREA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MARKS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 210-450-4621 |
Mailing Address - Street 1: | 8431 FREDERICKSBURG RD FL 5 |
Mailing Address - Street 2: | |
Mailing Address - City: | SAN ANTONIO |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78229-3392 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 210-450-9000 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 8311 EWING HALSELL DR |
Practice Address - Street 2: | |
Practice Address - City: | SAN ANTONIO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78229-3707 |
Practice Address - Country: | US |
Practice Address - Phone: | 210-562-8000 |
Practice Address - Fax: | 210-562-8989 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-10-10 |
Last Update Date: | 2024-12-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 282N00000X | Hospitals | General Acute Care Hospital |