Provider Demographics
NPI:1265139232
Name:SACRED HEART ENTERPRISES, PC
Entity type:Organization
Organization Name:SACRED HEART ENTERPRISES, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:SEITAN
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-265-5422
Mailing Address - Street 1:16318 SACRE COUER
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1956
Mailing Address - Country:US
Mailing Address - Phone:210-265-5422
Mailing Address - Fax:210-941-0845
Practice Address - Street 1:1846 N LOOP 1604 W STE 205
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-4541
Practice Address - Country:US
Practice Address - Phone:210-265-5422
Practice Address - Fax:210-853-0991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-10
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty