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STONE OAK RHEUMATOLOGY PA NPI 1235128240


NPI Information

NPI: 1235128240
Provider Name: STONE OAK RHEUMATOLOGY PA
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 45D0896822

Address:
155 E SONTERRA BLVD
SUITE 211
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 490-1111
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STONE OAK RHEUMATOLOGY PA is a rheumatology internal medicine in San Antonio, TX. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. STONE OAK RHEUMATOLOGY PA NPI is 1235128240. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

155 E SONTERRA BLVD
SUITE 211
SAN ANTONIO, TX
ZIP 78258-987
Phone: (210) 490-1111
Fax: (210) 490-3833

The provider's authorized official is Laura A Suarez .
The authorized official title is Owner and has the following contact phone number (210) 490-1111.

The CLIA number assigned to this NPI record is 45D0896822 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2005 and was last updated on 7/13/2007.


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
1207RR0500XInternal MedicineRheumatologyH2819TEXASYes

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
15397113OTHERTEXASAETNA
2A002OTHERTEXASCHAMPUS
300347ROTHERTEXASBLUE CROSS BLUE SHIELD
4C22388MEDICARE UPIN
58769MDMEDICARE ID-TYPE UNSPECIFIEDTEXAS

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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