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NPI 1962780577ActiveOrganization· PACE Provider Organization· San Antonio, TX

PACE Provider Organization in San Antonio, Texas, registered in NPPES in July 2011. The authorized official on file is Brandon L. Bradshaw, Administrator.

Overview

NPI1962780577
StatusActive
Entity typeOrganization
NPI issuedJul 30, 2011
Last updated in NPPESJul 30, 2011

Specialties and licenses

TaxonomyCodeLicenseState
PACE Provider Organization Primary251T00000X251E00000XTX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other PACE Provider Organization providers in San Antonio

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