Healthcare Provider Details

I. General information

NPI: 1801817366
Provider Name (Legal Business Name): NEW BEGINNING CARDIOLOGY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 08/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4125 MCCULLOUGH AVE
SAN ANTONIO TX
78212-1903
US

IV. Provider business mailing address

4125 MCCULLOUGH AVE
SAN ANTONIO TX
78212-1903
US

V. Phone/Fax

Practice location:
  • Phone: 210-271-7266
  • Fax: 210-226-8411
Mailing address:
  • Phone: 210-271-7266
  • Fax: 210-226-8411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG3371
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG3371
License Number StateTX

VIII. Authorized Official

Name: JOHN HOWARD FRIERSON
Title or Position: MEDICAL DOCTOR
Credential: M.D.
Phone: 210-271-7266