OrganizationActive
River City Oral and Maxillofacial Surgery, PLLC
NPI 1063987626 · Oral and Maxillofacial Surgery Clinic/Center · San Antonio, TX
Provider details
- NPI number
- 1063987626
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Haverkorn, Owner(210) 778-0002
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5418 N Loop 1604 E
Suite 101
San Antonio, TX 78023
Phone: (210) 778-0002
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1719
Helotes, TX 78023-1719
Registry dates
- Enumerated
- 2018-10-10
- Last updated
- 2018-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.