MEDICARE: COLLABORATIVE ANESTHESIA PARTNERS- SAN ANTONIO

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	367500000X	Certified Registered Nurse Anesthetist

General Provider Information

NPI Number	:	1992510820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLLABORATIVE ANESTHESIA PARTNERS- SAN ANTONIO

Provider Business Mailing Address
First Line	:	25010 ESTANCIA CIR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78260-4346
Country	:	US
Telephone Number	:	872-772-9573
Fax Number	:

Provider Business Practice Location Address
First Line	:	25010 ESTANCIA CIR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78260-4346
Country	:	US
Telephone Number	:	872-772-9573
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. SETH JORDAN MONK
Credential	:	DNP, CRNA
Telephone Number	:	872-772-9573

Provider Enumeration Date	:	02/10/2025
Last Update Date	:	04/17/2025

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