Organization
PRIME OAK GROUP LLC
Active
Other names
SA Heart Vascular and Rhythm Center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA M IBARRA-NARVAEZ (OFFICE MANAGER)
(210) 272-0098
Entity
Organization
Contact information
Practice address
6830 HEUERMANN RD, SAN ANTONIO, TX 78256-9603
(210) 802-4350
(210) 802-4351
Mailing address
6830 HEUERMANN RD, SAN ANTONIO, TX 78256-9603
(210) 802-4350
(210) 802-4351
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
TX
261Q00000X
Clinic/Center
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
08/10/2015
Last updated
11/24/2020
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