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Organization

TEXAS INSTITUTE OF MEDICINE AND SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROBERTA S. CLOUD (COO)
(210) 575-8500
Entity
Organization

Contact information

Practice address
7711 LOUIS PASTEUR DR, SUITE 707, SAN ANTONIO, TX 78229-3415
(210) 575-6755
(210) 575-6902
Mailing address
7711 LOUIS PASTEUR DR, SUITE 707, SAN ANTONIO, TX 78229-3415
(210) 575-6755
(210) 575-6902

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
207L00000X
Anesthesiology Physician
207RC0000X
Cardiovascular Disease Physician
207RG0100X
Gastroenterology Physician
207RH0003X
Hematology & Oncology Physician
207RI0008X
Hepatology Physician
207RX0202X
Medical Oncology Physician
207T00000X
Neurological Surgery Physician
208000000X
Pediatrics Physician
2080P0202X
Pediatric Cardiology Physician
2080P0203X
Pediatric Critical Care Medicine Physician
208600000X
Surgery Physician
364S00000X
Clinical Nurse Specialist
364SN0800X
Neuroscience Clinical Nurse Specialist
364SP0200X
Pediatric Clinical Nurse Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
083784102
TX
01
CG5475
MEDICARE RAILROAD
TX
Enumeration date
05/03/2006
Last updated
11/08/2008
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