Healthcare Provider Details
I. General information
NPI: 1851368112
Provider Name (Legal Business Name): RENAL ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/07/2006
Last Update Date: 04/13/2024
Certification Date: 10/28/2022
Deactivation Date: 04/04/2024
Reactivation Date: 04/13/2024
III. Provider practice location address
16620 N US HWY 281 STE 300
SAN ANTONIO TX
78232-2679
US
IV. Provider business mailing address
16620 N US HWY 281 STE 300
SAN ANTONIO TX
78232-2679
US
V. Phone/Fax
- Phone: 210-614-1231
- Fax: 210-616-0704
- Phone: 210-614-1231
- Fax: 210-616-0704
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NAVID
SAIGAL
Title or Position: CEO
Credential: MD
Phone: 210-614-1231