Organization
SAN ANTONIO CARDIOLOGY CLINIC PA
Active
Other names
Cardiology Clinic of San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT G BAILEY (CEO)
(210) 614-5400
Entity
Organization
Contact information
Practice address
4411 MEDICAL DR, STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
Mailing address
4411 MEDICAL DR, STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083594401
—
TX
01
—
CP3140
MEDICARE RAILROAD
—
Enumeration date
07/11/2006
Last updated
05/12/2010
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