# UROLOGY ASSOC OF SAN ANTONIO PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801990486
- **Authorized official:** MR. JERRY ELLIOT KRUSE MD (PRESIDENT)
- **Authorized official phone:** (210) 227-9376

## Contact information

- **Practice address:** 1303 MCCULLOUGH AVE, SUITE 561, SAN ANTONIO, TX 78212-5668
- **Practice address phone:** (210) 227-9376
- **Practice address fax:** (210) 227-0916
- **Mailing address:** 1303 MCCULLOUGH AVE, SUITE 561, SAN ANTONIO, TX 78212-5668
- **Mailing address phone:** (210) 227-9376
- **Mailing address fax:** (210) 227-0916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 07/06/2010