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EAR MEDICAL GROUP PA NPI 1164533246


NPI Information

NPI: 1164533246
Provider Name: EAR MEDICAL GROUP PA
Classification: Otolaryngology - 207YX0901X
Entity Type: Organization

Specialization: Otology & Neurotology

CLIA Number: 45D1076577

Address:
21 SPURS LANE
SUITE 100
SAN ANTONIO, TX
ZIP 78240
Phone: (210) 614-6070
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EAR MEDICAL GROUP PA is an otology and neurotology otolaryngology in San Antonio, TX. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. EAR MEDICAL GROUP PA NPI is 1164533246. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21 SPURS LANE
SUITE 100
SAN ANTONIO, TX
ZIP 78240
Phone: (210) 614-6070
Fax: (210) 615-6814

The provider's authorized official is Charles Augustine Syms .
The authorized official title is President and has the following contact phone number (210) 614-6070.

The CLIA number assigned to this NPI record is 45D1076577 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 10/18/2013.


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
1231H00000XAudiologist0080928503TEXASNo
2207YX0901XOtolaryngologyOtology & NeurotologyYes

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
100CT80MEDICARE PINTEXAS
2112782101MEDICAIDTEXAS

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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