410 San Antonio Development
Organization Active NPI Health Service Clinic/Center · Houston, TX
NPI 1609279751 · NPPES record last updated Oct 3, 2014
Key facts
- NPI
- 1609279751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- 410 SAN ANTONIO DEVELOPMENT
- Practice address
- 2000 Bagby St
Apt 13430
Houston, TX 77002-8587 - Phone
- (214) 295-6703
- NPI assigned
- Oct 3, 2014
- Organization subpart
- No
Authorized official
- Name
- Adrianna Villarreal
- Title
- Billing Manager
- Phone
- (214) 295-6703
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
2000 Bagby St
Apt 13430
Houston, TX 77002-8587
Mailing address
2000 Bagby St
Apt 13430
Houston, TX 77002-8587
Phone (214) 295-6703
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.