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Contact Information

AETERNUM FORTIS MEDICAL PLLC
7180 BANDERA RD
SAN ANTONIO, TX78238-1295
 Phone: 210-521-6886
 Fax: 210-521-6608
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for AETERNUM FORTIS MEDICAL PLLC

NPI # 1235991787
LBN Legal business name AETERNUM FORTIS MEDICAL PLLC
Authorized official SHANNON BALLARD - (MANAGING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2024
Last updated 01/29/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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