Provider Demographics
NPI:1194980698
Name:CARDIOLOGY AND ENDOVASCULAR INSTITUTE OF SAN ANTONIO LLC
Entity type:Organization
Organization Name:CARDIOLOGY AND ENDOVASCULAR INSTITUTE OF SAN ANTONIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALVATORE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARBARO
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:210-490-4600
Mailing Address - Street 1:19234 STONEHUE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3477
Mailing Address - Country:US
Mailing Address - Phone:210-490-4600
Mailing Address - Fax:210-490-4651
Practice Address - Street 1:19234 STONEHUE
Practice Address - Street 2:SUITE 104
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3477
Practice Address - Country:US
Practice Address - Phone:210-490-4600
Practice Address - Fax:210-490-4651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVJ7900207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF22484Medicare UPIN