STOP SA LLC NPI 1629382817

NPI Information

  • NPI: 1629382817
  • Provider Name: STOP SA, LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 3780 N.W. LOOP 410
    SAN ANTONIO, TX
    ZIP 78229
  • Phone: (210) 736-4405

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NPI Details

STOP SA, LLC is a nephrology internal medicine in San Antonio, TX. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. STOP SA, LLC NPI is 1629382817. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3780 N.W. LOOP 410
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 736-4405
Fax: (210) 736-4407

The provider's authorized official is Bertram W. Roberts .
The authorized official title is Program Sponsor and has the following contact phone number (210) 736-4405.

The enumeration date for this NPI number is 7/30/2010 and was last updated on 7/30/2010.

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
12084N0400XPsychiatry & NeurologyNeurologyK5178TEXASNo
2207RN0300XInternal MedicineNephrologyE8143TEXASYes

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
1C21128MEDICARE UPINTEXAS
2131802409MEDICAIDTEXAS
38L12268MEDICARE 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: 11/21/2025

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