Provider Demographics
NPI:1407875990
Name:NITYA SURGICAL ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:NITYA SURGICAL ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:NILESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-695-2757
Mailing Address - Street 1:PO BOX 780849
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78278-0849
Mailing Address - Country:US
Mailing Address - Phone:855-882-2849
Mailing Address - Fax:801-931-2044
Practice Address - Street 1:14603 HUEBNER RD
Practice Address - Street 2:BLDG 2
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230
Practice Address - Country:US
Practice Address - Phone:210-695-2757
Practice Address - Fax:800-520-2747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2744284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA081457NHKMedicare ID - Type UnspecifiedPREVIOUS EMPLOYER
PAI11860Medicare UPIN