Temika Matthews

Individual provider Active NPI Case Management Agency · San Antonio, TX

NPI 1104719822 · NPPES record last updated Dec 16, 2025

Key facts

NPI
1104719822
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Agency 251B00000X
Practice address
6450 Mineral Bay
San Antonio, TX 78244-1673
Phone
(210) 708-5982
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Good Fruit TX Inc Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

6450 Mineral Bay
San Antonio, TX 78244-1673

Mailing address

1552 S Route 59 # 1232
Naperville, IL 60564-5941

Other providers in San Antonio, TX

All providers in San Antonio, TX · Case Management Agency in Texas

Sources for this page

Verify at the official NPI Registry.