MEDICARE: CLINICAL ADVANCEMENT CENTER, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1744R1102X	Research Study Specialist

General Provider Information

NPI Number	:	1700282472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICAL ADVANCEMENT CENTER, PLLC

Provider Business Mailing Address
First Line	:	1123 N MAIN AVE STE 120
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-4740
Country	:	US
Telephone Number	:	210-226-2001
Fax Number	:	210-226-5211

Provider Business Practice Location Address
First Line	:	1123 N MAIN AVE STE 120
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-4740
Country	:	US
Telephone Number	:	210-226-2001
Fax Number	:	210-226-5211

Authorized Official
Title or Position	:	CEO
Name	:	NAVID SAIGAL
Credential	:	MD
Telephone Number	:	210-614-1231

Provider Enumeration Date	:	11/07/2014
Last Update Date	:	09/10/2018

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