Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Medicaid360, Inc

Organization Contractor · NPI 1790929743

Medicaid360, Inc is a Contractor in San Antonio, Texas. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

626 Mesa Rdg
San Antonio, TX 78258-4815
Phone: (210) 863-1600
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1790929743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Harris — President · (210) 863-1600
NPI enumeratedApril 21, 2009
Last updated in NPPESApril 21, 2009
Mailing address626 Mesa Rdg, San Antonio, TX 78258-4815

Other providers in San Antonio