Organization
PEDIATRIC ANESTHESIA CONSULTANTS OF SAN ANTONIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA S CLOUD (VICE PRESIDENT OF MANAGING MEMBER)
(210) 575-7827
Entity
Organization
Contact information
Practice address
7700 FLOYD CURL DR, SAN ANTONIO, TX 78229-3902
(210) 575-7827
(866) 741-3697
Mailing address
7711 LOUIS PASTEUR DR, STE 708, SAN ANTONIO, TX 78229-3415
(210) 575-7828
(866) 741-3697
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP3000X
Pediatric Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197749801
—
TX
05
—
197749803
—
TX
01
—
19779104
CSHCN
TX
Enumeration date
10/31/2008
Last updated
03/21/2011
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