Provider Demographics
NPI:1164382065
Name:TEXAS EDUCATIONAL ACADEMIC MEDICAL FOUNDATION
Entity type:Organization
Organization Name:TEXAS EDUCATIONAL ACADEMIC MEDICAL FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:VALENTIN
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-425-6270
Mailing Address - Street 1:5210 THOUSAND OAKS DR STE 1244
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78233-6974
Mailing Address - Country:US
Mailing Address - Phone:210-223-9292
Mailing Address - Fax:
Practice Address - Street 1:5210 THOUSAND OAKS DR STE 1244
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-6974
Practice Address - Country:US
Practice Address - Phone:210-223-9292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-13
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty