Retina Specialists Of San Antonio, Pllc
LBN: Retina Specialists Of San Antonio, Pllc
Retina Specialists Of San Antonio, Pllc is an health care organization with primary practice located at 303 E Quincy St Suite 100, San Antonio TX 78215-1918. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Retina Specialists Of San Antonio, Pllc can be contacted via phone (210) 271-7648, or through Brodrick, Charles D via phone (210) 271-7648.
Contact Information
Primary practice address
303 E Quincy St Suite 100
San Antonio TX 78215-1918
Phone: (210) 271-7648
Fax: (210) 225-8184
Website:
Authorized official contact:
Name: Brodrick, Charles D Doctor of Medicine (MD)
Phone: (210) 271-7648
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | Texas | |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | Texas |
Profile Details
| NPI number | 1457710592 |
|---|---|
| LBN Legal business name | Retina Specialists Of San Antonio, Pllc |
| DBA Doing business as | |
| Authorized official | Brodrick, Charles D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 17th, 2016 |
| Last updated | Apr 25th, 2017 - about 7 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 | 1457710592 | NPPES |
| Texas | MEDICAID | 3583817-01 |
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