Provider Demographics
NPI:1366626533
Name:SOUTH TEXAS INTERNAL MEDICINE ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:SOUTH TEXAS INTERNAL MEDICINE ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:WINN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-225-2551
Mailing Address - Street 1:1303 MCCULLOUGH AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-5609
Mailing Address - Country:US
Mailing Address - Phone:210-225-2551
Mailing Address - Fax:210-225-3896
Practice Address - Street 1:1303 MCCULLOUGH AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5609
Practice Address - Country:US
Practice Address - Phone:210-225-2551
Practice Address - Fax:210-225-3896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX220118801Medicaid
TX035668501Medicaid
1134157522OtherINDIVIDUAL NPI
TXP00871878OtherRAIL ROAD MEDICARE
TXP00871880OtherRAIL ROAD MEDICARE
TX035668502Medicaid
1629067251OtherINDIVIDUAL NPI
TXP00871880OtherRAIL ROAD MEDICARE
TX8F24087Medicare PIN
1629067251OtherINDIVIDUAL NPI
TX611918Medicare PIN
TXP00871878OtherRAIL ROAD MEDICARE
TX177534801Medicaid
TX177534802Medicaid