NPI age
17 years
Enumerated 2009-04-21
● Active Type 2 · Organization
Medicaid360, Inc.
Medicaid360, Inc. is 1 of 801 contractor organizations in Texas.
Primary specialty
Contractor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Harris
President
Last NPPES update
2009-04-21
Source: monthly bulk 2026-05
How this organization compares
Across 801 active contractor providers in Texas.
NPI age
17 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-04Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
626 Mesa Rdg
San Antonio, TX 782584815
Mailing address
626 Mesa Rdg
San Antonio, TX 782584815
Authorized official
Teresa Harris
President
📞 2108631600
Specialties
-
Contractor PrimaryFor the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 263656705 | BILLING |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.