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CENTER FOR MINMALLY INVASIVE CARDIOVASCULAR & THORACIC SURGERY PA NPI 1679767875


NPI Information

NPI: 1679767875
Provider Name: CENTER FOR MINMALLY INVASIVE CARDIOVASCULAR & THORACIC SURGERY PA
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
225 E SONTERRA BLVD
SUITE 201
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 615-6626
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CENTER FOR MINMALLY INVASIVE CARDIOVASCULAR & THORACIC SURGERY PA is a thoracic surgery cardiothoracic vascular surgery in San Antonio, TX. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. CENTER FOR MINMALLY INVASIVE CARDIOVASCULAR & THORACIC SURGERY PA NPI is 1679767875. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

225 E SONTERRA BLVD
SUITE 201
SAN ANTONIO, TX
ZIP 78258-992
Phone: (210) 615-6626
Fax: (210) 615-1318

The provider's authorized official is Carmelo Otero .
The authorized official title is President and has the following contact phone number (210) 447-3679.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 6/20/2013.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)G7417TEXASYes

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
1E46792MEDICARE UPINTEXAS
20063RDOTHERTEXASBLUE CROSS BLUE SHIELD
300Y771MEDICARE 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: 4/28/2024

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