EAR INSTITUTE OF TEXAS P A NPI 1093846248

NPI Information

EAR INSTITUTE OF TEXAS P A 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. EAR INSTITUTE OF TEXAS P A NPI is 1093846248. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18518 HARDY OAK BLVD
SUITE 300
SAN ANTONIO, TX
ZIP 78258-271
Phone: (210) 696-4327
Fax: (210) 798-2509

The provider's authorized official is Lance E Jackson .
The authorized official title is Owner and has the following contact phone number (210) 696-4327.

The CLIA number assigned to this NPI record is 45D0500248 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/8/2007 and was last updated on 2/27/2012.

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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