Basic Information
| Provider Information | |||||||||
| NPI: | 1093993537 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STONE OAK WOMENS CENTER PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1976 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782971976 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106142229 | ||||||||
| FaxNumber: | 2106142232 | ||||||||
| Practice Location | |||||||||
| Address1: | 540 OAK CENTRE DR STE 280 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782583937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106142229 | ||||||||
| FaxNumber: | 2106142232 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2008 | ||||||||
| LastUpdateDate: | 05/11/2022 | ||||||||
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| AuthorizedOfficialLastName: | BIGGLER | ||||||||
| AuthorizedOfficialFirstName: | CHARLES | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | MD | ||||||||
| AuthorizedOfficialTelephone: | 2106142229 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | 05/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 0092RB | 01 | TX | BCBS | OTHER |