Harry Jerisg Center

LBN: Our Lady Of The Lake University
Harry Jerisg Center is an health care organization with primary practice located at 411 Sw 24Th St , San Antonio TX 78207-4617. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Our Lady Of The Lake University can be contacted via phone (210) 434-6711, or through Acevedo, Mary Ann via phone (210) 434-6711.

Contact Information

Primary practice address
411 Sw 24Th St San Antonio TX 78207-4617
Phone: (210) 434-6711
Fax: (210) 434-9360
Website:
Map and Directions
Authorized official contact:
Name: Acevedo, Mary Ann PH. D.
Phone: (210) 434-6711

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 11218 Texas

Profile Details

NPI number 1063622314
LBN Legal business name Our Lady Of The Lake University
DBA Doing business as Harry Jerisg Center
Authorized official Acevedo, Mary Ann PH. D.
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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