BROOKS CITY BASE CARDIOVASCULAR (NPI# 1336612274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336612274 |
| Entity Type | Organization |
| Organization Name | BROOKS CITY BASE CARDIOVASCULAR |
| Practice Address |
4025 E Southcross Blvd Ste 15 San Antonio TX 78222-3641 |
| Practice Telephone | 8324397889 |
| Mailing Telephone | 8324397889 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |
| Authorized Official Name | GABRIEL TODD FAZ (OWNER) |
| Authorized Official Telephone | 8324397889 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| Street Address |
4025 E SOUTHCROSS BLVD STE 15 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78222-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912974023 | Zachary M Arthurs | Surgery | 4025 E Southcross Blvd Ste 15, San Antonio, TX 78222-3641 | 2006-03-07 |
| 1578085791 | San Antonio Vascular and Endovascular Clinic Pllc | Surgery | 4025 E Southcross Blvd Ste 15, San Antonio, TX 78222-3641 | 2017-07-10 |
| 1558793596 | Vincent Paul Fonseca | Preventive Medicine | 4025 E Southcross Blvd Ste 15, San Antonio, TX 78222-3641 | 2013-08-01 |
| 1699900480 | Lyssa N Ochoa | Surgery | 4025 E Southcross Blvd Ste 15, San Antonio, TX 78222-3641 | 2009-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285164897 | Kimberly Smith | Contractor | 2607 Lakebriar St, San Antonio, TX 78222 | 2017-06-15 |
| 1801045257 | Perly Lee Sheffield | Case Manager/Care Coordinator | 5518 Elk Hunter Tr., San Antonio, TX 78222 | 2008-09-10 |
| 1689822447 | James Edward Williams | Family Medicine | 3859 E Southcross Blvd Ste C, San Antonio, TX 78222 | 2008-09-05 |
| 1508025693 | Southcross Surgical Center, LLC | Clinic/Center | 4025 E. Southcross, Bldg 3 Ste. 15, San Antonio, TX 78222 | 2008-06-04 |
| 1184839235 | Michael C Key | Dentist | 3875 E Southcross, Ste F, San Antonio, TX 78222 | 2007-05-11 |
| 1245359017 | Celia S Faz | Home Health Aide | 5511 Firestar Trail, San Antonio, TX 78222 | 2007-03-29 |
| 1730272501 | Best Fit Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 3859 E Southcross, Ste H, San Antonio, TX 78222 | 2006-10-02 |
| 1326150806 | Angela E Adams | Nurse Practitioner | 4243 E Southcross Blvd Ste 204, San Antonio, TX 78222 | 2006-08-31 |
| 1063435105 | Mark David Mutschink | Physical Therapist | 3875 E Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-07-26 |
| 1548210636 | Cameron Brent Elam | Physical Therapist | 3875 East Southcross, Ste B, Ryke Physical Therapy & Sports Medicine, San Antonio, TX 78222 | 2006-05-11 |
| Find all providers in zip 78222 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1235343922 | Mohammad Salah El Bash | Internal Medicine | 900 Oblate Dr, San Antonio, TX 78216-7332 | 2007-05-10 |
| 1003886409 | Jean H Liu | Internal Medicine | 1139 E Sonterra Blvd Ste 520, San Antonio, TX 78258-4347 | 2006-01-26 |
| 1952808826 | Zar Shaikh Md Pllc | Internal Medicine | 11130 Christus Hills, Suite 207 Medical Plaza 3, San Antonio, TX 78251 | 2018-04-09 |
| 1578985610 | Rivercity Cardiovascular of San Antonio Pllc | Internal Medicine | 311 Camden St, Ste 102, San Antonio, TX 78215-2012 | 2014-01-08 |
| 1396181384 | Jorge C Magallon Md Pa | Internal Medicine | 311 Camden St, 102, San Antonio, TX 78215-2012 | 2013-05-16 |
| 1295001766 | Cardiovascular Consultants of San Antonio, Pllc | Internal Medicine | 19276 Stone Oak Pkwy, Suite 103, San Antonio, TX 78258-3378 | 2012-03-28 |
| 1982979605 | Methodist Medical Group, Pllc | Internal Medicine | 8109 Fredericksburg Rd, Physician Practice Services, San Antonio, TX 78229-3311 | 2012-03-13 |
| 1275802175 | Milton Alvis, Md, Pa | Internal Medicine | 2833 Babcock Rd, Suite 445, San Antonio, TX 78229-5390 | 2011-12-21 |
| 1174753198 | Jose Miguel Iturbe | Internal Medicine | 225 E Sonterra Blvd Ste 217, San Antonio, TX 78258 | 2009-07-24 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78222 |
Please comment or provide details below to improve the information on BROOKS CITY BASE CARDIOVASCULAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.