Provider Demographics
NPI:1578085791
Name:SAN ANTONIO VASCULAR AND ENDOVASCULAR CLINIC PLLC
Entity Type:Organization
Organization Name:SAN ANTONIO VASCULAR AND ENDOVASCULAR CLINIC PLLC
Other - Org Name:THE SAVE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LYSSA
Authorized Official - Middle Name:N
Authorized Official - Last Name:OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-560-5265
Mailing Address - Street 1:PO BOX 91257
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-9098
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:603 E AMBER ST STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-2456
Practice Address - Country:US
Practice Address - Phone:210-610-7283
Practice Address - Fax:210-812-5938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-10
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty