Organization
CENTER FOR MINMALLY INVASIVE CARDIOVASCULAR & THORACIC SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMELO OTERO MD (PRESIDENT)
(210) 447-3679
Entity
Organization
Contact information
Practice address
225 E SONTERRA BLVD, SUITE 201, SAN ANTONIO, TX 78258-3992
(210) 615-6626
(210) 615-1318
Mailing address
P.O. BOX 2636, SAN ANTONIO, TX 78258-3987
(210) 615-6626
(210) 615-1318
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G7417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063RD
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/30/2007
Last updated
06/20/2013
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