SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES


Address: 926 Booklyn Ave, San Antonio, TX 78215-1637
Phone: 2106160283

SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES (NPI# 1790168417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790168417
Entity Type Organization
Organization Name SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES
Other Organization Name EAR, NOSE & THROAT CLINICS OF SAN ANTONIO
Practice Address 926 Booklyn Ave
San Antonio
TX 78215-1637
Practice Telephone 2106160283
Practice Fax Number 2106160071
Mailing Telephone 2106160283
Mailing Fax Number 2106160071
Enumeration Date 2015-06-30
Last Update Date 2015-06-30
Authorized Official Name TRACY GIBSON (CREDENTIALER)
Authorized Official Telephone 2106160283
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 093833403 05

Other Provider/Organization Names

Other Name Type Code
Ear, Nose & Throat Clinics of San Antonio Doing Business As Name - Organization

Office Location

Street Address 926 BOOKLYN AVE
City SAN ANTONIO
State TX
Zip Code 78215-1637

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1477958015 Rachel Lynn Stein Nurse Practitioner 311 Camden St Ste 501, San Antonio, TX 78215 2014-10-24
1962837005 Jessica Maria Leighton Nurse Practitioner 926 Brooklyn Ave Ste 100, San Antonio, TX 78215 2013-09-09
1891037123 Michael Aguilar Davila Clinic/Center 303 E Quincy Ste 104, Physician Health Services, San Antonio, TX 78215 2013-03-25
1265669584 Colin Townes Son Neurological Surgery 123 Roy Smith St Apt 1211, San Antonio, TX 78215 2009-06-12
1306082292 Dario Fernandez Physical Therapist 302 E Josephine St Ste 1101, San Antonio, TX 78215 2008-12-23
1992966584 Vcphcs Vii, LLC Clinic/Center 519 E. Quincy, San Antonio, TX 78215 2008-06-17
1871686360 Inocencio A. Davila, M.d.,p.a. Anesthesiology 621 N. Alamo, San Antonio, TX 78215 2006-10-02
1730282708 Elizabeth S Brickman Pediatrics 311 Camden, Suite 214, San Antonio, TX 78215 2006-09-06
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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1831641059 Lone Star Cardiovascular Center Pllc Specialist 9130 Wurzbach Rd Ste 104, San Antonio, TX 78240-1070 2016-11-04
1851753396 Coral Ramirez Camacho Specialist 7827 Clos Du Bois, San Antonio, TX 78253-4880 2016-03-23
1174984371 Crossover Health Specialist 3838 Rogers Rd, San Antonio, TX 78251-3662 2016-03-15
1033585948 Job Adventures Specialist 4606 Centerview Ste 200, San Antonio, TX 78228-1205 2015-08-14
1255738514 Amy Beth Flores Specialist 7134 Washita Way, San Antonio, TX 78256-2339 2014-12-01
1730582263 Womens Center At Westover Hills Specialist 1315 N. Ellison Dr., San Antonio, TX 78251 2014-09-29
1811396799 Intravascular Access Team Specialist 8415 Fredericksburg Rd, Unit 906, San Antonio, TX 78229-3173 2014-08-17
1497164990 Next Generation Orthopedic & Spine Institute, Pllc Specialist 1626 Lockhill Selma Rd, Suite 2, San Antonio, TX 78213-1929 2014-08-08
1053737403 Sandra Dean Shriner Specialist 3603 Paesanos Pkwy Ste 201, San Antonio, TX 78231-1267 2014-03-10
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Competitor

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City SAN ANTONIO
Zip Code 78215

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Dataset Information

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.

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