Organization
C.V. SURENDRANAT MD, PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C V SURENDRANATH M.D. (OWNER)
(210) 682-0140
Entity
Organization
Contact information
Practice address
7061 BANDERA RD, SUITE 101, SAN ANTONIO, TX 78238-1266
(210) 682-0140
(210) 682-3238
Mailing address
PO BOX 680935, SAN ANTONIO, TX 78268-0935
(210) 682-0140
(210) 682-3238
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
K4257
TX
2086X0206X
Surgical Oncology Physician
Primary
K4257
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OA3473
PTAN
TX
Enumeration date
12/15/2006
Last updated
02/19/2016
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