Organization · NPI-2

Cedar Hills Family Practice, P.A.

Clinic/Center, Primary Care · San Antonio, TX

NPI number1306093505
StatusActive
Last updated in NPPESMar 25, 2021

Details

NPI
1306093505
Entity type
Organization (NPI-2)
Legal business name
Cedar Hills Family Practice, P.A.
Organization subpart
No
Enumeration date
Aug 19, 2008
Certification date
Mar 25, 2021
Last updated
Mar 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes
293D00000X Physiological Laboratory––

Practice location

3166 Se Military Dr
Suite 103
San Antonio, TX 78223-3978

Phone 210-298-4711 · Fax 210-298-4717

Mailing address

3166 Se Military Dr
Suite 103
San Antonio, TX 78223-3978

Phone 210-298-4711 · Fax 210-298-4717

Authorized official

James Edward Williams
President/Physician
2102984711

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