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

River City Oral and Maxillofacial Surgery, PLLC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1063987626

River City Oral and Maxillofacial Surgery, PLLC is an Oral and Maxillofacial Surgery Clinic/Center in San Antonio, Texas. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5418 N Loop 1604 E Ste 101
San Antonio, TX 78023
Phone: (210) 778-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1063987626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Haverkorn — Owner · (210) 778-0002
NPI enumeratedOctober 10, 2018
Last updated in NPPESOctober 10, 2018
Mailing addressPo Box 1719, Helotes, TX 78023-1719

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