Provider Demographics
NPI:1396858577
Name:SURGI-CONSULTANTS OF SAN ANTONIO
Entity Type:Organization
Organization Name:SURGI-CONSULTANTS OF SAN ANTONIO
Other - Org Name:SURGICAL CONSULTANTS OF SAN ANTONIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PILCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-614-3370
Mailing Address - Street 1:9150 HUEBNER
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240
Mailing Address - Country:US
Mailing Address - Phone:210-614-9210
Mailing Address - Fax:210-614-6859
Practice Address - Street 1:9150 HUEBNER
Practice Address - Street 2:SUITE 250
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240
Practice Address - Country:US
Practice Address - Phone:210-614-3370
Practice Address - Fax:210-614-6859
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SURGI-CONSULTANTS OF SAN ANTONIO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-15
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00619KMedicare ID - Type Unspecified