Provider Demographics
NPI:1992510820
Name:COLLABORATIVE ANESTHESIA PARTNERS- SAN ANTONIO
Entity type:Organization
Organization Name:COLLABORATIVE ANESTHESIA PARTNERS- SAN ANTONIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:MONK
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CRNA
Authorized Official - Phone:872-772-9573
Mailing Address - Street 1:25010 ESTANCIA CIR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78260-4346
Mailing Address - Country:US
Mailing Address - Phone:872-772-9573
Mailing Address - Fax:
Practice Address - Street 1:25010 ESTANCIA CIR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78260-4346
Practice Address - Country:US
Practice Address - Phone:872-772-9573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty