SHAVANO PRECISION LABORATORY, LLC (NPI# 1881033504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881033504 |
| Entity Type | Organization |
| Organization Name | SHAVANO PRECISION LABORATORY, LLC |
| Practice Address |
3603 Paesanos Pkwy Suite 205b San Antonio TX 78231-1267 |
| Practice Telephone | 2106151901 |
| Practice Fax Number | 2106151905 |
| Mailing Telephone | 2106151901 |
| Mailing Fax Number | 2106151905 |
| Enumeration Date | 2013-06-15 |
| Last Update Date | 2013-06-15 |
| Authorized Official Name | DONNA MARIE BARRY (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 2106151901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
3603 PAESANOS PKWY SUITE 205B |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78231-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286764 | Suzanne K Gazda | Psychiatry & Neurology | 3603 Paesanos Pkwy, Suite 300, San Antonio, TX 78231-1267 | 2005-06-23 |
| 1396145124 | Megan Vargas | Physician Assistant | 3603 Paesanos Pkwy, Suite 300, San Antonio, TX 78231-1267 | 2014-08-29 |
| 1568738763 | South Texas Neurobehavioral Group LLC | Clinical Neuropsychologist | 3603 Paesanos Pkwy, Suite 300, San Antonio, TX 78231-1267 | 2012-04-02 |
| 1891008470 | Paesanos Parkway Imaging I LLC | Clinic/Center | 3603 Paesanos Pkwy, Suite 110, San Antonio, TX 78231-1267 | 2010-07-23 |
| 1003130543 | South Texas Neuropsychological Associates Pllc | Clinical Neuropsychologist | 3603 Paesanos Pkwy, Ste 300a, San Antonio, TX 78231-1267 | 2010-03-25 |
| 1609005305 | Kathy Baum Vonada | Counselor | 3603 Paesanos Pkwy, 202, San Antonio, TX 78231-1267 | 2009-07-02 |
| 1619150588 | Ellen S Vandelden | Psychiatry & Neurology | 3603 Paesanos Pkwy, Suite 300, San Antonio, TX 78231-1227 | 2007-12-13 |
| 1720008527 | Spine and Pain Center of San Antonio | Physical Medicine & Rehabilitation | 3603 Paesanos Pkwy, Suite 100, San Antonio, TX 78231-1227 | 2006-07-21 |
| 1376512350 | Merryl Leatherman | Physician Assistant | 3603 Paesanos Pkwy, Ste 300, San Antonio, TX 78231-1267 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790229516 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 3603 Paesanos Pkwy Ste 100, San Antonio, TX 78231 | 2016-12-13 |
| 1679945869 | Jocasta Castillo | Social Worker | Jewish Family Service of San Antonio, Tx, Inc., 12500 Nw Military Hwy Ste 250, San Antonio, TX 78231 | 2015-10-27 |
| 1710367297 | Amir Shahab Ashtiani | Dentist | 938 Wurzbach Pkwy Ste 107, San Antonio, TX 78231 | 2015-06-01 |
| 1386044303 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 919 Wurzbach Parkway, San Antonio, TX 78231 | 2014-08-27 |
| 1326452160 | Wal-mart Stores Texas, LLC | Technician/Technologist | 12639 Blanco Rd, San Antonio, TX 78231 | 2014-06-19 |
| 1306165378 | Rex Elwyn Wildey | Dentist | 10003 Nw Military Hwy, Suite 3201, San Antonio, TX 78231 | 2010-05-28 |
| 1003065095 | Gomes Dental, PC | Dentist | 4115 Pond Hill Rd, Suite 102, Shavano Park, TX 78231 | 2008-09-15 |
| 1801966320 | William Michael Copeland | Dentist | 2397 C Nw Military Hwy, San Antonio, TX 78231 | 2006-11-09 |
| 1588766802 | Eugene G Krenzer Jr. | Counselor | 12500 North West Military Hwy #250, Jewish Family and Children's Services, San Antonio, TX 78231 | 2006-09-05 |
| 1760590442 | Arlene G. Dryer | Social Worker | Jfcs, 12500 N.w. Military Hwy., #250, San Antonio, TX 78231 | 2006-08-25 |
| Find all providers in zip 78231 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706718 | Consultants In Pain Medicine, Pa | Clinic/Center | 332 W Sunset Rd Ste 3, San Antonio, TX 78209-1755 | 2019-12-05 |
| 1285160853 | Cryo Body Shape | Clinic/Center | 7219 Glen Ellen Bay, San Antonio, TX 78244-1757 | 2017-05-02 |
| 1780954867 | Spine & Pain Center of San Antonio | Clinic/Center | 18707 Hardy Oak Rd, Suite 105, San Antonio, TX 78258-4792 | 2012-01-06 |
| 1285901116 | Spine & Pain Center of San Antonio | Clinic/Center | 3124 Sidney Brks, 570b, San Antonio, TX 78235-5113 | 2011-11-21 |
| 1285242727 | Michael L. Murphy M.d., Pllc | Clinic/Center | 10007 Huebner Rd Ste 203, San Antonio, TX 78240-1646 | 2020-07-21 |
| 1356774319 | Stephen Dinger Do Pllc | Clinic/Center | 18585 Sigma Rd Ste 104, San Antonio, TX 78258-4204 | 2013-08-14 |
| 1508109208 | Advanced Pain Management and Rehab | Clinic/Center | 540 Madison Oak Dr, Ste 210, San Antonio, TX 78258-3943 | 2013-04-01 |
| 1891065033 | Spine & Pain Center of San Antonio | Clinic/Center | 525 Oak Centre Dr, Suite 140, San Antonio, TX 78258-3916 | 2012-01-05 |
| 1578830543 | Spine & Pain Center of San Antonio | Clinic/Center | 3903 Wiseman Blvd, 311, San Antonio, TX 78251-4401 | 2011-11-18 |
| 1881639615 | Acd-sa, Ltd. | Clinic/Center | 7220 Louis Pasteur Dr, 115, San Antonio, TX 78229-4537 | 2006-06-17 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78231 |
Please comment or provide details below to improve the information on SHAVANO PRECISION LABORATORY, LLC.
| 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.