Organization · NPI-2

5 Star Integrity Healthcare, LLC

Family Medicine · San Antonio, TX

NPI number1194210658

StatusActive

Last updated in NPPESApr 27, 2020

Details

NPI: 1194210658
Entity type: Organization (NPI-2)
Legal business name: 5 Star Integrity Healthcare, LLC
Organization subpart: No
Enumeration date: Jun 27, 2018
Certification date: Apr 27, 2020
Last updated: Apr 27, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
363AM0700X	Physician Assistant, Medical	–	–
363LA2100X	Nurse Practitioner, Acute Care	–	–
363LF0000X	Nurse Practitioner, Family	–	–
363LW0102X	Nurse Practitioner, Women's Health	–	–
207R00000X	Internal Medicine	–	–
208D00000X	General Practice	–	–

Practice location

1300 West Ave Ste 201
San Antonio, TX 78201-3501

Phone 210-708-9329 · Fax 210-817-8686

Mailing address

1300 West Ave Ste 201
San Antonio, TX 78201-3501

Phone 210-708-9329 · Fax 210-817-8686

Authorized official

Patricia V Gomez
Owner
2107089329

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