Organization
STONE OAK RHEUMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA A SUAREZ MD (OWNER)
(210) 490-1111
Entity
Organization
Contact information
Practice address
155 E SONTERRA BLVD, SUITE 211, SAN ANTONIO, TX 78258-3987
(210) 490-1111
(210) 490-3833
Mailing address
155 E SONTERRA BLVD, SUITE 211, SAN ANTONIO, TX 78258-3987
(210) 490-1111
(210) 490-3833
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
H2819
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00347R
BLUE CROSS BLUE SHIELD
TX
01
—
5397113
AETNA
TX
01
—
A002
CHAMPUS
TX
Enumeration date
10/21/2005
Last updated
07/13/2007
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