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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