Gastroenterology Clinic Of San Antonio, P.A. in San Antonio - Gastroenterology

Gastroenterology Clinic Of San Antonio, P.A. - NPI 1053490631

Gastroenterology Clinic Of San Antonio, P.A. is a Gastroenterology in San Antonio, Texas. Gastroenterology Clinic Of San Antonio, P.A. practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Gastroenterology Clinic Of San Antonio, P.A. is 1053490631. The last update date is 2015-10-29.

Gastroenterology Clinic Of San Antonio, P.A.'s current location address is 8550 Datapoint Dr, San Antonio, Texas. You can contact this provider via phone number 2106158308 and fax number 2106158313. The mailing address for Gastroenterology Clinic Of San Antonio, P.A. is 8550 Datapoint Dr, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gastroenterology Clinic Of San Antonio, P.A.
Address 8550 Datapoint Dr, San Antonio, Texas
Phone Number 2106158308
Fax Number 2106158313
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Havranek Russell
Credentials MD
Telephone Number 2106158308

NPI Number Detail

NPI Number 1053490631
Provider Enumeration Date 2006-11-03
Last Updated Date 2015-10-29

Provider Mailing Address Detail

Address 8550 Datapoint Dr
City San Antonio
State Texas (TX)
Post Code 782293270
Phone Number 2106158308
Fax Number 2106158313

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
44080201 TX --
00BL45 TX MEDICARE PTAN

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FAQs about Gastroenterology Clinic Of San Antonio, P.A.

What is the unique identifier code issued to Gastroenterology Clinic Of San Antonio, P.A. by the Centers for Medicare & Medicaid Services (CMS)?

The Gastroenterology Clinic Of San Antonio, P.A. has been assigned the NPI (National Provider Identifier) 1053490631. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Gastroenterology Clinic Of San Antonio, P.A. is physically located?

The Gastroenterology Clinic Of San Antonio, P.A. is physically situated at the following address: 8550 Datapoint Dr, San Antonio, TX, 782293270.

What is the Gastroenterology Clinic Of San Antonio, P.A.'s specialty and taxonomy code?

The Gastroenterology Clinic Of San Antonio, P.A.'s specialty is Gastroenterology, and the corresponding taxonomy code is 207Rg0100X.

On what date did Gastroenterology Clinic Of San Antonio, P.A. receive its 1053490631 assignment from the Centers for Medicare & Medicaid Services?

The Gastroenterology Clinic Of San Antonio, P.A. was assigned its 1053490631 on 2006-11-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Gastroenterology Clinic Of San Antonio, P.A., such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gastroenterology Clinic Of San Antonio, P.A., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-10-29.

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