UROLOGY SAN ANTONIO, P.A. (NPI# 1962860221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962860221 |
| Entity Type | Organization |
| Organization Name | UROLOGY SAN ANTONIO, P.A. |
| Other Organization Name | DR JOHNNY REYNA CENTER FOR CANCER TREATMENT |
| Practice Address |
7718 Pasteur Dr San Antonio TX 78229-3402 |
| Practice Telephone | 2104779060 |
| Mailing Telephone | 2104779060 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | GLORIA CLARK (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2107312050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dr Johnny Reyna Center for Cancer Treatment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982147427 | Urology San Antonio, P.a. | Clinic/Center | 5150 Broadway St, San Antonio, TX 78209-5710 | 2016-12-01 |
| Street Address |
7718 PASTEUR DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225238215 | Richard (rick) Lynn Crownover | Radiology | 7979 Wurzbach Rd Fl 2, San Antonio, TX 78229-4427 | 2007-07-19 |
| 1861412348 | Ardow Richard Ameduri Jr. | Radiology | 4383 Medical Drive, San Antonio, TX 78229-3307 | 2006-07-20 |
| 1164450581 | Michael Anthony Selva | Radiology | 7718 Louis Pasteur Ct, San Antonio, TX 78229-3442 | 2006-06-28 |
| 1073551420 | Timothy Wayne Dziuk | Radiology | 2130 Ne Loop 410 Ste 100, San Antonio, TX 78217-4660 | 2006-06-04 |
| 1992769137 | Suresh V Dutta | Radiology | 1010 Nw Loop 410, Suite 100d, San Antonio, TX 78213-2220 | 2006-04-14 |
| 1184608739 | Kimberly D. Stewart | Radiology | 215 E Quincy St Bsmt B100, San Antonio, TX 78215-2031 | 2005-12-06 |
| 1639580756 | Jennifer Caitlin Lee | Radiology | 5206 Research Dr, San Antonio, TX 78240-5251 | 2014-05-12 |
| 1790128783 | Mohamad Hassan Fakhreddine | Radiology | 7979 Wurzbach Rd Fl 2, San Antonio, TX 78229 | 2013-04-09 |
| 1144530353 | San Antonio Rt Associates LLC | Radiology | 9102 Floyd Curl Dr, San Antonio, TX 78240-1553 | 2010-10-21 |
| 1366779233 | Bradley R Prestidge Md Pa | Radiology | 9102 Floyd Curl Dr, Suite 1, San Antonio, TX 78240-1553 | 2009-11-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
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| 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.