Basic Information
| Provider Information | |||||||||
| NPI: | 1316258254 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CARDIAC CATH LAB OF SAN ANTONIO LP | ||||||||
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| OtherOrganizationName: | SOUTH TEXAS CARDIOVASCULAR AND RHYTHM CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6800 IH 10 W | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782012038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7138127586 | ||||||||
| FaxNumber: | 7138127594 | ||||||||
| Practice Location | |||||||||
| Address1: | 6800 IH 10 W | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782012038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7138127586 | ||||||||
| FaxNumber: | 7138127594 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2010 | ||||||||
| LastUpdateDate: | 09/24/2018 | ||||||||
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| AuthorizedOfficialLastName: | SCHWING | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO OF GENERAL PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 7138127586 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
No ID Information.