Healthcare Provider Details

I. General information

NPI: 1881606879
Provider Name (Legal Business Name): SOUTH TEXAS NEPHROLOGY, P.A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 11/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8038 WURZBACH RD #480
SAN ANTONIO TX
78229-3817
US

IV. Provider business mailing address

8038 WURZBACH RD #480
SAN ANTONIO TX
78229-3817
US

V. Phone/Fax

Practice location:
  • Phone: 210-615-7057
  • Fax:
Mailing address:
  • Phone: 210-615-7057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZN0300X
TaxonomyNephrology Specialist/Technologist
License NumberL7882
License Number StateTX

VIII. Authorized Official

Name: DR. RASHID SHARAF
Title or Position: PHYSICAN
Credential: M.D.
Phone: 210-615-7057