Organization
CARDIOLOGY CLINIC OF SAN ANTONIO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS WADLINGTON (GROUP VICE PRESIDENT)
(615) 372-7332
Entity
Organization
Contact information
Practice address
4411 MEDICAL DR, SUITE #300, SAN ANTONIO, TX 78229-3822
(210) 614-5400
(210) 614-5732
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218671001
—
TX
01
—
DR0519
MEDICARE RAILROAD
TX
01
—
H00040TV01
BCBS
TX
Enumeration date
06/29/2010
Last updated
11/21/2025
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