NPI 1144432642

K.A.D.C., LLC

Organisation Point of Service San Antonio, TX

Practice location

Address: 5540 Old Seguin Road, San Antonio, TX 78219-1043
Phone: (210) 797-8812
Fax: (210) 310-1602

Authorised official

Name: Mercedes M. Hysaw
Title: Owner Director
Phone: (210) 797-8812

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 010166 (TX)

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Registry record

NPI: 1144432642
Entity type: Organization
NPI issued: 4 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.