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UROLOGY ASSOC OF SAN ANTONIO PA NPI 1801990486


NPI Information

NPI: 1801990486
Provider Name: UROLOGY ASSOC OF SAN ANTONIO PA
Classification: Urology - 208800000X
Entity Type: Organization
Address:
1303 MCCULLOUGH AVE
SUITE 561
SAN ANTONIO, TX
ZIP 78212
Phone: (210) 227-9376
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UROLOGY ASSOC OF SAN ANTONIO PA is an urology in San Antonio, TX. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. UROLOGY ASSOC OF SAN ANTONIO PA NPI is 1801990486. 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 561
SAN ANTONIO, TX
ZIP 78212-668
Phone: (210) 227-9376
Fax: (210) 227-0916

The provider's authorized official is Jerry Elliot Kruse .
The authorized official title is President and has the following contact phone number (210) 227-9376.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 7/6/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

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
100J538MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2083200801MEDICAIDTEXAS
3CP8906OTHERTEXASRAILROAD MEDICARE

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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