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ENDOCRINOLOGY NUCLEAR MEDICINE ASSOCIATES PA NPI 1366581589


NPI Information

NPI: 1366581589
Provider Name: ENDOCRINOLOGY NUCLEAR MEDICINE ASSOCIATES PA
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 45D0660420

Address:
1303 MCCULLOUGH AVE
SUITE 374
SAN ANTONIO, TX
ZIP 78212
Phone: (210) 223-5483
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ENDOCRINOLOGY NUCLEAR MEDICINE ASSOCIATES PA is an endocrinology and diabetes and metabolism internal medicine in San Antonio, TX. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ENDOCRINOLOGY NUCLEAR MEDICINE ASSOCIATES PA NPI is 1366581589. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1303 MCCULLOUGH AVE
SUITE 374
SAN ANTONIO, TX
ZIP 78212-615
Phone: (210) 223-5483
Fax: (210) 223-5492

The provider's authorized official is Yolanda M Lopez .
The authorized official title is Office Manager and has the following contact phone number (210) 223-5483.

The CLIA number assigned to this NPI record is 45D0660420 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 11/22/2011.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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
100K56QMEDICARE ID-TYPE UNSPECIFIEDTEXAS
2083522501MEDICAIDTEXAS

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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