Organization
SUSAN PORTNOY EPNER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PORTNOY EPNER M.D. (OWNER)
(210) 497-0494
Entity
Organization
Contact information
Practice address
4903 GOLDEN QUAIL, SUITE 104, SAN ANTONIO, TX 78240-1584
(210) 877-2727
(210) 877-0267
Mailing address
4903 GOLDEN QUAIL, SUITE 104, SAN ANTONIO, TX 78240-1584
(210) 877-2727
(210) 877-0267
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066TE
BCBS GROUP
TX
05
—
104240003
—
TX
01
—
8CG786
BCBS INDIVIDUAL
TX
Enumeration date
04/01/2009
Last updated
04/07/2010
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