Digestive Diseases Center Of South Texas, Pllc

LBN: Digestive Diseases Center Of South Texas, Pllc
Digestive Diseases Center Of South Texas, Pllc is an health care organization with primary practice located at 621 Camden St , San Antonio TX 78215-1612. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Digestive Diseases Center Of South Texas, Pllc can be contacted via phone (210) 253-3422, or through Botla, Ravi via phone (210) 253-3422.

Contact Information

Primary practice address
621 Camden St San Antonio TX 78215-1612
Phone: (210) 253-3422
Fax: (210) 227-9833
Website:
Map and Directions
Authorized official contact:
Name: Botla, Ravi Doctor of Medicine (MD)
Phone: (210) 253-3422

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1679671994
LBN Legal business name Digestive Diseases Center Of South Texas, Pllc
DBA Doing business as
Authorized official Botla, Ravi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 19th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679671994 NPPES
Texas MEDICAID 085153702
Texas Other 00T16Z

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