Heart Medical Group, P.A.
Clinic/Center, Adolescent and Children Mental Health in San Antonio, TX. Organization (NPI-2).
NPI number1497907166
StatusActive
Last updated in NPPESOct 14, 2008
Details
- NPI
- 1497907166
- Entity type
- Organization (NPI-2)
- Legal business name
- Heart Medical Group, P.A.
- Organization subpart
- No
- Enumeration date
- Oct 14, 2008
- Last updated
- Oct 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | N0821 | TX | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
19026 Stone Oak Pkwy#205
San Antonio, TX 78258-3227
Phone 210-317-4800
Mailing address
1926 Slumber PassSan Antonio, TX 78260-6235
Phone 210-481-0090
Authorized official
Lyudmila Vasilievna Hartt
Ceo
2103174800
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All 11 Adolescent and Children Mental Health Clinic/Center providers in San Antonio · All 48,677 providers in San Antonio
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