Organization · NPI-2
Cardiothoracic Surgical Associates
Thoracic Surgery (Cardiothoracic Vascular Surgery) · San Antonio, TX
NPI number1790887743
StatusActive
Last updated in NPPESJul 26, 2022
Details
- NPI
- 1790887743
- Entity type
- Organization (NPI-2)
- Legal business name
- Cardiothoracic Surgical Associates
- Organization subpart
- No
- Enumeration date
- Sep 1, 2006
- Certification date
- Jul 26, 2022
- Last updated
- Jul 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – | Yes |
Practice location
7579 N Loop 1604 W Ste 100San Antonio, TX 78249-2782
Phone 210-616-0008 · Fax 210-616-0231
Mailing address
204 Zambrano RdSan Antonio, TX 78209-5459
Phone 210-616-0008 · Fax 210-616-0231
Authorized official
J Marvin Smith
President
2106160008
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