Healthcare Provider Details
I. General information
NPI: 1568002434
Provider Name (Legal Business Name): SAIPC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2020
Last Update Date: 01/27/2020
Certification Date: 01/27/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8026 FLOYD CURL DR
SAN ANTONIO TX
78229-3915
US
IV. Provider business mailing address
PO BOX 692371
SAN ANTONIO TX
78269-2371
US
V. Phone/Fax
- Phone: 210-575-8110
- Fax:
- Phone: 210-229-9085
- Fax: 210-354-4750
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NADEEM
HAIDER
Title or Position: MANAGER
Credential: M.D.
Phone: 210-575-8110