Dallas Broadway in San Antonio - Ambulatory Surgical

Dallas Broadway - NPI 1366646416

Dallas Broadway is a Ambulatory Surgical in San Antonio, Texas. Dallas Broadway practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Dallas Broadway is 1366646416. The last update date is 2021-11-03.

Dallas Broadway's current location address is 1010 Nw Loop 410 Ste 100b, San Antonio, Texas. You can contact this provider via phone number 2104657015 and fax number 2104657014. The mailing address for Dallas Broadway is 1010 Nw Loop 410 Ste 100b, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Dallas Broadway
Address 1010 Nw Loop 410 Ste 100b, San Antonio, Texas
Phone Number 2104657015
Fax Number 2104657014
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1366646416
Provider Enumeration Date 2007-06-13
Last Updated Date 2021-11-03

Provider Mailing Address Detail

Address 1010 Nw Loop 410 Ste 100b
City San Antonio
State Texas (TX)
Post Code 782132220
Phone Number 2104657015
Fax Number 2104657014

Provider's Primary Taxonomy Detail

Speciality Ambulatory Surgical
Taxonomy 261Qa1903X
Licence No 249640
Definition:
Provides outpatient surgical services not requiring hospitalization.

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FAQs about Dallas Broadway

What is the unique identifier code issued to Dallas Broadway by the Centers for Medicare & Medicaid Services (CMS)?

The Dallas Broadway has been assigned the NPI (National Provider Identifier) 1366646416. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Dallas Broadway?

The Dallas Broadway is physically situated at 1010 Nw Loop 410 Ste 100B, in the city of San Antonio, state of TX, with the postal code 782132220.

What is Dallas Broadway's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Dallas Broadway is Ambulatory Surgical, and the corresponding taxonomy classification code for this specialized field is 261Qa1903X.

On what date did Dallas Broadway receive its 1366646416 assignment from the Centers for Medicare & Medicaid Services?

The Dallas Broadway was assigned its 1366646416 on 2007-06-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Dallas Broadway, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dallas Broadway, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-11-03.

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