Organization
SAN ANTONIO SURGICAL ARTS, P.A.
Active
Organization
SAN ANTONIO SURGICAL ARTS, P.A.
Active
Other names
Casillas, Pool and Thornton, D.D.S. P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET CASILLAS (ADMINISTRATOR)
(210) 341-7264
Entity
Organization
Contact information
Practice address
6501 BLANCO RD, SAN ANTONIO, TX 78216-6627
(210) 341-7264
(210) 341-2022
Mailing address
6501 BLANCO RD, SAN ANTONIO, TX 78216-6627
(210) 341-7264
(210) 308-1077
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009624001
—
TX
05
—
009624002
—
TX
05
—
009624003
—
TX
05
—
009624005
—
TX
05
—
009624006
—
TX
05
—
009624007
—
TX
05
—
009624008
—
TX
01
—
00N96A
BCBS
—
05
—
023065801
—
TX
01
—
838355
UNITED CONCORDIA
—
01
—
CE7550
RAILROAD MEDICARE
—
Enumeration date
01/12/2006
Last updated
03/07/2013
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