Organization
COLON & RECTAL SURGICAL ASSOCIATES OF SAN ANTONIO, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE KELLER (ADMINISTRATOR)
(210) 614-0892
Entity
Organization
Contact information
Practice address
7950 FLOYD CURL DR, STE 101, SAN ANTONIO, TX 78229-3916
(210) 614-0880
(210) 692-0301
Mailing address
7950 FLOYD CURL DR, STE 101, SAN ANTONIO, TX 78229-3919
(210) 614-0880
(210) 692-0301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00TS98
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00TS98
MEDICARE GROUP #
TX
05
—
085514001
—
TX
Enumeration date
06/18/2006
Last updated
09/23/2013
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