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METRO NORTH CARDIOVASCULAR ASSOCIATES P.A NPI 1962602763


NPI Information

NPI: 1962602763
Provider Name: METRO NORTH CARDIOVASCULAR ASSOCIATES, P.A
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 45D0955862

Address:
1003 NE LOOP 410
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 654-6000
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METRO NORTH CARDIOVASCULAR ASSOCIATES, 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. METRO NORTH CARDIOVASCULAR ASSOCIATES, P.A NPI is 1962602763. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1003 NE LOOP 410
SAN ANTONIO, TX
ZIP 78209-205
Phone: (210) 654-6000
Fax: (210) 654-6014

The provider's authorized official is Peggy Sue Garoutte .
The authorized official title is Administrator and has the following contact phone number (210) 654-6000.

The CLIA number assigned to this NPI record is 45D0955862 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 12/18/2014.


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
1174400000XSpecialistH9639TEXASYes

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
1085790602MEDICAIDTEXAS
2CC8198OTHERTEXASMEDICARE RAILROAD
383Z820OTHERTEXASBCBS
400U82QMEDICARE PINTEXAS

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: 11/14/2023

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