DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ELISE VADER

MEDICARE: ELISE VADER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA09491TX

General Provider Information

NPI Number : 1699163642
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISE VADER
Provider Business Mailing Address
First Line : PO BOX 734812
Second Line :
City : DALLAS
State : TX
Zip : 75373-4812
Country : US
Telephone Number : 210-358-9500
Fax Number : 210-358-9183
Provider Business Practice Location Address
First Line : 919 LOCKE ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78208-2127
Country : US
Telephone Number : 210-358-8255
Fax Number : 210-644-8726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2014
Last Update Date : 02/10/2021

Similar Medicare Providers

1780655175 — EBENEZER O BABALOLA M.D.
Practice Location Address:
919 LOCKE ST
SAN ANTONIO, TX
78208-2127
Practice Phone: 210-358-8255
Practice Fax: 210-644-8726
1326017500 — DR. SUHAIB W. HAQ M.D.
Practice Location Address:
919 LOCKE ST
SAN ANTONIO, TX
78208-2127
Practice Phone: 210-358-8255
Practice Fax: 210-644-8726
1831204031 — DR. ELISE L KIBLER M.D.
Practice Location Address:
919 LOCKE ST
SAN ANTONIO, TX
78208-2127
Practice Phone: 210-644-8700
Practice Fax: 210-702-4326
1972748531 — ENDALINE A ANUNOBI M.D
Practice Location Address:
919 LOCKE ST
SAN ANTONIO, TX
78208-2127
Practice Phone: 210-358-8255
Practice Fax: 210-644-8726
1780020271 — AMY COBB
Practice Location Address:
919 LOCKE ST
SAN ANTONIO, TX
78208-2127
Practice Phone: 210-644-8700
Practice Fax: 210-644-8726
1902232861 — ANSLEY BROWN PNP
Practice Location Address:
919 LOCKE ST
SAN ANTONIO, TX
78208-2127
Practice Phone: 210-358-8255
Practice Fax: 210-644-8726

Directions to “ ELISE VADER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.