Healthcare Provider Details
I. General information
NPI: 1093993537
Provider Name (Legal Business Name): STONE OAK WOMENS CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/06/2008
Last Update Date: 05/11/2022
Certification Date: 05/11/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
540 OAK CENTRE DR STE 280
SAN ANTONIO TX
78258-3937
US
IV. Provider business mailing address
PO BOX 1976
SAN ANTONIO TX
78297-1976
US
V. Phone/Fax
- Phone: 210-614-2229
- Fax: 210-614-2232
- Phone: 210-614-2229
- Fax: 210-614-2232
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHARLES
BIGGLER
Title or Position: MD
Credential: M.D.
Phone: 210-614-2229