Organization
SAN ANTONIO GASTROENTEROLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY FREEHAUF (ADMINISTRATOR)
(210) 242-0020
Entity
Organization
Contact information
Practice address
520 E EUCLID AVE, SAN ANTONIO, TX 78212-4414
(210) 242-0020
(210) 475-9806
Mailing address
520 E EUCLID AVE, SAN ANTONIO, TX 78212-4414
(210) 242-0020
(210) 475-9806
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00RM40
BLUE CROSS
TX
05
—
095002402
—
TX
01
—
45D0707595
CLIA
TX
01
—
CP8292
MEDICARE RAILROAD
TX
Enumeration date
09/01/2006
Last updated
09/11/2018
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