MR. GEORGE STEPHEN MIDLA


Address: 2537 Garden Ave, Institute of Surgical Research, San Antonio, TX 78213
Phone: 2108084238

MR. GEORGE STEPHEN MIDLA (NPI# 1124077821) 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) 1124077821
Entity Type Individual
Full Name MR. GEORGE STEPHEN MIDLA
Other Name MR. GEORGE STEPHEN MIDLA
Credential PA-C
Practice Address 2537 Garden Ave
Institute of Surgical Research
San Antonio
TX 78213
Mailing Address 2161 Nw Military Hwy
Ste. 308
San Antonio
TX 78213-1878
Practice Telephone 2108084238
Mailing Telephone 2103413336
Mailing Fax Number 2103413455
Enumeration Date 2006-05-09
Last Update Date 2013-05-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA07734 TX Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
1041460 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2537 GARDEN AVE
INSTITUTE OF SURGICAL RESEARCH
City SAN ANTONIO
State TX
Zip Code 78213

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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Competitor

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City SAN ANTONIO
Zip Code 78213

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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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