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Contact Information

ACCORD MEDICAL MANAGEMENT, LP
4330 VANCE JACKSON RD
SAN ANTONIO, TX78230-5321
 Phone: 210-271-2188
 Fax: 210-271-2023
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for ACCORD MEDICAL MANAGEMENT, LP

NPI Number 1295830503
LBN Legal business name ACCORD MEDICAL MANAGEMENT, LP
Authorized official LESTER SURROCK - (SENIOR VICE PRESIDENT AND CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2006
Last updated 06/21/2018 - About 8 years ago
Identifiers
TX License # 000396
TX Medicaid 112676501
TX Other 0004325024 AETNA
TX Other HH0167 BLUE CROSS
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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