Shiva Izaddoust D.D.S. P.A.

LBN: Shiva Izaddoust D.D.S. P.A.
Shiva Izaddoust D.D.S. P.A. is an health care organization with primary practice located at 700 S Zarzamora St Ste 106, San Antonio TX 78207-5255. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Shiva Izaddoust D.D.S. P.A. can be contacted via phone (210) 432-0298, or through Izaddoust, Shiva via phone (210) 432-0298.

Contact Information

Primary practice address
700 S Zarzamora St Ste 106 San Antonio TX 78207-5255
Fax: (210) 432-6044
Website:
Authorized official contact:
Name: Izaddoust, Shiva Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1275667503
LBN Legal business name Shiva Izaddoust D.D.S. P.A.
DBA Doing business as
Authorized official Izaddoust, Shiva Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1275667503 NPPES
Texas Other 7028 BLUE CROSS BLUE SHIELD
Texas Other G60126-02 BLUE CROSS BLUE SHIELD
Texas Other 1300534 BLUE CROSS BLUE SHIELD

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