Organization
CARDIOTHORACIC SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J MARVIN SMITH III MD (PRESIDENT)
(210) 616-0008
Entity
Organization
Contact information
Practice address
7579 N LOOP 1604 W STE 100, SAN ANTONIO, TX 78249-2782
(210) 616-0008
(210) 616-0231
Mailing address
204 ZAMBRANO RD, SAN ANTONIO, TX 78209-5459
(210) 616-0008
(210) 616-0231
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112630201
—
TX
Enumeration date
09/01/2006
Last updated
07/26/2022
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