SHAVANO FAMILY PRACTICE PA NPI 1669668083

NPI Information

SHAVANO FAMILY PRACTICE PA is a family medicine in San Antonio, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHAVANO FAMILY PRACTICE PA NPI is 1669668083. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12000 HUEBNER RD
#104
SAN ANTONIO, TX
ZIP 78230-213
Phone: (210) 561-2422
Fax: (210) 561-2466

The provider's authorized official is Mitchell Frank Finnie .
The authorized official title is President and has the following contact phone number (210) 561-2422.

The CLIA number assigned to this NPI record is 45D0993899 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 12/10/2010.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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