Provider Demographics
NPI:1053377713
Name:CITY OF SAN ANTONIO TEXAS
Entity type:Organization
Organization Name:CITY OF SAN ANTONIO TEXAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIVISION CHIEF OF EMS
Authorized Official - Prefix:MR
Authorized Official - First Name:REYNALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-207-7525
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78291-0158
Mailing Address - Country:US
Mailing Address - Phone:210-227-7252
Mailing Address - Fax:210-224-6945
Practice Address - Street 1:315 S SANTA ROSA AVE
Practice Address - Street 2:SUITE 2000
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-4557
Practice Address - Country:US
Practice Address - Phone:210-207-7525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0150093416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX107688701Medicaid
TX590006970Medicare PIN
TX503936Medicare PIN