Provider Demographics
NPI:1578742011
Name:MICHAEL R. NATALINO,M.D.,P.A.
Entity Type:Organization
Organization Name:MICHAEL R. NATALINO,M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:NATALINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-656-3109
Mailing Address - Street 1:PO BOX 17156
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-0156
Mailing Address - Country:US
Mailing Address - Phone:210-656-3109
Mailing Address - Fax:210-656-4469
Practice Address - Street 1:8601 VILLAGE DR
Practice Address - Street 2:SUITE 226
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5512
Practice Address - Country:US
Practice Address - Phone:210-656-3109
Practice Address - Fax:210-656-4469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX141612501Medicaid
TXX33865Medicare UPIN
TX141612501Medicaid