Provider Demographics
NPI:1962517805
Name:ST. JOHN PARTNERSHIP, LTD.
Entity type:Organization
Organization Name:ST. JOHN PARTNERSHIP, LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:MINGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-359-9353
Mailing Address - Street 1:4025 E SOUTHCROSS BLVD
Mailing Address - Street 2:BUILDING 3
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-3641
Mailing Address - Country:US
Mailing Address - Phone:210-359-9353
Mailing Address - Fax:210-359-9822
Practice Address - Street 1:4025 E SOUTHCROSS BLVD
Practice Address - Street 2:BUILDING 3
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3641
Practice Address - Country:US
Practice Address - Phone:210-359-9353
Practice Address - Fax:210-359-9822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008276261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical