MEDICARE: PASTEUR MEDICAL ASSOCIATES PA

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
1	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CJ5756	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760483226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PASTEUR MEDICAL ASSOCIATES PA

Provider Business Mailing Address
First Line	:	4410 MEDICAL DR STE 100
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3737
Country	:	US
Telephone Number	:	210-614-4000
Fax Number	:	210-614-9114

Provider Business Practice Location Address
First Line	:	4410 MEDICAL DR STE 100
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3737
Country	:	US
Telephone Number	:	210-614-4000
Fax Number	:	210-614-9114

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRADLEY B KAYSER
Credential	:	MD
Telephone Number	:	210-614-4000

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	10/28/2016

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Directions to “PASTEUR MEDICAL ASSOCIATES PA ” Practice Location

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