Urology Assoc Of San Antonio Pa

LBN: Urology Assoc Of San Antonio Pa
Urology Assoc Of San Antonio Pa is an health care organization with primary practice located at 1303 Mccullough Ave Suite 561, San Antonio TX 78212-5668. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Urology Assoc Of San Antonio Pa can be contacted via phone (210) 227-9376, or through Kruse, Jerry Elliot via phone (210) 227-9376.

Contact Information

Primary practice address
1303 Mccullough Ave Suite 561 San Antonio TX 78212-5668
Phone: (210) 227-9376
Fax: (210) 227-0916
Website:
Map and Directions
Authorized official contact:
Name: Kruse, Jerry Elliot Doctor of Medicine (MD)
Phone: (210) 227-9376

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1801990486
LBN Legal business name Urology Assoc Of San Antonio Pa
DBA Doing business as
Authorized official Kruse, Jerry Elliot Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 6th, 2010 - about 15 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 1801990486 NPPES
Texas MEDICAID 083200801
Texas Other CP8906

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