COLLIN RADER NPI 1831369222

NPI Information

NPI: 1831369222
Provider Name: COLLIN RADER
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
17910 BULVERDE RD
SAN ANTONIO, TX
ZIP 78259
Phone: (210) 906-8478
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Collin Rader is a general practice in San Antonio, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Collin Rader NPI is 1831369222. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17910 BULVERDE RD
SAN ANTONIO, TX
ZIP 78259-761
Phone: (210) 906-8478

The NPI 1831369222 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 3/24/2024.

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	License Number	License State	Primary
1	363A00000X	Physician Assistant	58070	CALIFORNIA	No
2	208D00000X	General Practice	20118	CALIFORNIA	No
3	390200000X	Student in an Organized Health Care Education/Training Program			No
4	208D00000X	General Practice	T4037	TEXAS	Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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