Organization
SAN ANTONIO CARDIOLOGY CLINIC PA
Active
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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