OrganizationActive
Amistad Residental Facility
NPI 1689902389 · Exclusive Provider Organization · San Antonio, TX
Provider details
- NPI number
- 1689902389
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Nancy Murrah, Provider(210) 725-6293
- License
- 127885 (TX)
Specialties & taxonomies
Managed Care Organizations
Practice location
309 W Norwood Ct
San Antonio, TX 78212-2222
Phone: (210) 832-9578
Fax: (210) 832-9578
Approximate (ZIP-level) locationGet directions
Mailing address
309 W Norwood Ct
San Antonio, TX 78212-2222
Registry dates
- Enumerated
- 2009-11-18
- Last updated
- 2009-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.