Provider Demographics
NPI:1265447932
Name:SETTERS MEDICAL GROUP PA
Entity Type:Organization
Organization Name:SETTERS MEDICAL GROUP PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-614-0500
Mailing Address - Street 1:8038 WURZBACH RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3817
Mailing Address - Country:US
Mailing Address - Phone:210-614-0500
Mailing Address - Fax:210-614-4848
Practice Address - Street 1:8038 WURZBACH RD
Practice Address - Street 2:SUITE 340
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3817
Practice Address - Country:US
Practice Address - Phone:210-614-0500
Practice Address - Fax:210-614-4848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00353UMedicare ID - Type Unspecified