Provider Demographics
NPI:1427234020
Name:CHEROKEE PERSONNEL SERVICES
Entity type:Organization
Organization Name:CHEROKEE PERSONNEL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHLEBOTMIST
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:MONTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFICATION
Authorized Official - Phone:210-815-0787
Mailing Address - Street 1:5918 TOWNHILL DR
Mailing Address - Street 2:5918 TOWNHILL DR
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-5030
Mailing Address - Country:US
Mailing Address - Phone:210-815-0787
Mailing Address - Fax:
Practice Address - Street 1:18945 FM 2252 STE 115
Practice Address - Street 2:
Practice Address - City:GARDEN RIDGE
Practice Address - State:TX
Practice Address - Zip Code:78266-2797
Practice Address - Country:US
Practice Address - Phone:210-651-0029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHEROKEE PERSONNEL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital