NPI 1689902389

Amistad Residental Facility

Organisation Exclusive Provider Organization San Antonio, TX

Practice location

Address: 309 W Norwood CT, San Antonio, TX 78212-2222
Phone: (210) 832-9578
Fax: (210) 832-9578

Authorised official

Name: Nancy Murrah
Title: Provider
Phone: (210) 725-6293

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 127885 (TX)

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Registry record

NPI: 1689902389
Entity type: Organization
NPI issued: 18 Nov 2009
Record last updated: 18 Nov 2009

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.