Gastroenterology Clinic Of San Antonio, P.A.
LBN: Gastroenterology Clinic Of San Antonio, P.A.
Gastroenterology Clinic Of San Antonio, P.A. is an health care organization with primary practice located at 8550 Datapoint Dr Suite 200, San Antonio TX 78229-3270. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty.
Gastroenterology Clinic Of San Antonio, P.A. can be contacted via phone (210) 615-8308, or through Havranek, Russell via phone (210) 615-8308.
Contact Information
Primary practice address
8550 Datapoint Dr Suite 200
San Antonio TX 78229-3270
Phone: (210) 615-8308
Fax: (210) 615-8313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X |
Profile Details
| NPI number | 1053490631 |
|---|---|
| LBN Legal business name | Gastroenterology Clinic Of San Antonio, P.A. |
| DBA Doing business as | |
| Authorized official | Havranek, Russell Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Oct 29th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053490631 | NPPES |
| Texas | MEDICAID | 044080201 | |
| Texas | Other | 00BL45 |
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