PEDIATRIC EAR NOSE & THROAT INSTITUTE OF SOUTH TEXAS NPI 1093719379

NPI Information

PEDIATRIC EAR, NOSE & THROAT INSTITUTE OF SOUTH TEXAS is a specialist in San Antonio, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PEDIATRIC EAR, NOSE & THROAT INSTITUTE OF SOUTH TEXAS NPI is 1093719379. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16723 HUEBNER RD
SAN ANTONIO, TX
ZIP 78248-342
Phone: (210) 733-4368
Fax: (210) 402-3417

The provider's authorized official is Benjamin Salazar .
The authorized official title is Office Administrator and has the following contact phone number (210) 733-4268.

The CLIA number assigned to this NPI record is 45D2141429 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2005 and was last updated on 5/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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