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SAN ANTONIO SURGICAL ARTS P.A. NPI 1952380511


NPI Information

NPI: 1952380511
Provider Name: SAN ANTONIO SURGICAL ARTS, P.A.

Former Legal Business Name: CASILLAS, POOL AND THORNTON, D.D.S. P.A.

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
6501 BLANCO RD
SAN ANTONIO, TX
ZIP 78216
Phone: (210) 341-7264
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SAN ANTONIO SURGICAL ARTS, P.A. is an oral and maxillofacial surgery dentist in San Antonio, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SAN ANTONIO SURGICAL ARTS, P.A. NPI is 1952380511. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Casillas, Pool And Thornton, D.d.s. P.a..

The provider's business location address is:

6501 BLANCO RD
SAN ANTONIO, TX
ZIP 78216-627
Phone: (210) 341-7264
Fax: (210) 341-2022

The provider's authorized official is Margaret Casillas .
The authorized official title is Administrator and has the following contact phone number (210) 341-7264.

The enumeration date for this NPI number is 1/12/2006 and was last updated on 3/7/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryTEXASNo
21223S0112XDentistOral and Maxillofacial SurgeryYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1009624006MEDICAIDTEXAS
2009624003MEDICAIDTEXAS
3023065801MEDICAIDTEXAS
4N96AMEDICARE ID-TYPE UNSPECIFIED
5009624001MEDICAIDTEXAS
6009624007MEDICAIDTEXAS
700N96AOTHERBCBS
8009624008MEDICAIDTEXAS
9009624005MEDICAIDTEXAS
10CE7550OTHERRAILROAD MEDICARE
11838355OTHERUNITED CONCORDIA
12009624002MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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