Healthcare Provider Details

I. General information

NPI: 1174583892
Provider Name (Legal Business Name): JOHN CURRAN PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2006
Last Update Date: 03/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 DATAPOINT DR SUITE 500
SAN ANTONIO TX
78229-5907
US

IV. Provider business mailing address

8401 DATAPOINT DR SUITE 500
SAN ANTONIO TX
78229-5907
US

V. Phone/Fax

Practice location:
  • Phone: 210-614-0180
  • Fax: 210-615-7171
Mailing address:
  • Phone: 210-614-0180
  • Fax: 210-615-7170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA01577
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: