| NPI | 1053490631 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-11-03 |
| Last Updated | 2015-10-29 |
| Authorized Official | Russell Havranek CEO Phone: 2106158308 |
| Mailing Address | 8550 Datapoint Dr, Suite 200 San Antonio, TX 78229-3270 United States Phone: (210) 615-8308 | Fax: (210) 615-8313 📍 View Map |
| Primary Practice Address | 8550 Datapoint Dr, Suite 200 San Antonio, TX 78229-3270 United States Phone: (210) 615-8308 | Fax: (210) 615-8313 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | TX | 00BL45 | Medicare PTAN |
| MEDICAID | TX | 044080201 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RG0100X – Internal Medicine, Gastroenterology | — | — |
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About NPI 1053490631
Gastroenterology Clinic Of San Antonio, P.a. is an organization registered in the CMS NPPES NPI Registry with NPI number 1053490631. The primary specialty listed is Internal Medicine, Gastroenterology. The organization is located in San Antonio, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053490631?
NPI 1053490631 belongs to Gastroenterology Clinic Of San Antonio, P.a., a Internal Medicine, Gastroenterology in San Antonio, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053490631 active?
The current status of NPI 1053490631 in the NPPES registry is Active. The record was last updated on 2015-10-29.
What specialty is NPI 1053490631?
NPI 1053490631 is classified under the taxonomy Internal Medicine, Gastroenterology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053490631?
You can verify NPI 1053490631 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053490631?
The primary practice address on file for NPI 1053490631 is 8550 Datapoint Dr, San Antonio, TX 78229-3270. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053490631 issued?
NPI 1053490631 was first issued (enumerated) on 2006-11-03. The NPPES record was last updated on 2015-10-29.
Practice Location Map
Gastroenterology Clinic Of San Antonio, P.a. is located at 8550 Datapoint Dr, San Antonio, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Gastroenterology Clinic Of San Antonio, P.a.. All records sourced from the CMS NPPES registry.