CARDIOLOGY CLINIC OF SAN ANTONIO PLLC NPI 1487965000

NPI Information

  • NPI: 1487965000
  • Provider Name: CARDIOLOGY CLINIC OF SAN ANTONIO, PLLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • CLIA Number: 45D0972630
  • Address: 4411 MEDICAL DR
    SUITE #300
    SAN ANTONIO, TX
    ZIP 78229
  • Phone: (210) 614-5400

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NPI Details

CARDIOLOGY CLINIC OF SAN ANTONIO, PLLC is a cardiovascular disease internal medicine in San Antonio, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CARDIOLOGY CLINIC OF SAN ANTONIO, PLLC NPI is 1487965000. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4411 MEDICAL DR
SUITE #300
SAN ANTONIO, TX
ZIP 78229-822
Phone: (210) 614-5400
Fax: (210) 614-5732

The provider's authorized official is Roberta Cloud .
The authorized official title is Vice President and has the following contact phone number (210) 575-8501.

The CLIA number assigned to this NPI record is 45D0972630 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2010 and was last updated on 9/9/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
2207RI0011XInternal MedicineInterventional CardiologyNo
3207RC0000XInternal MedicineCardiovascular DiseaseYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H00040TV01OTHERTEXASBCBS
2DR0519OTHERTEXASMEDICARE RAILROAD
3218671001MEDICAIDTEXAS

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: 3/30/2025

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