Provider Demographics
NPI:1760483226
Name:PASTEUR MEDICAL ASSOCIATES PA
Entity Type:Organization
Organization Name:PASTEUR MEDICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:B
Authorized Official - Last Name:KAYSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-614-4000
Mailing Address - Street 1:4410 MEDICAL DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3737
Mailing Address - Country:US
Mailing Address - Phone:210-614-4000
Mailing Address - Fax:210-614-9114
Practice Address - Street 1:4410 MEDICAL DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3737
Practice Address - Country:US
Practice Address - Phone:210-614-4000
Practice Address - Fax:210-614-9114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX083513401Medicaid
CJ5756OtherRAILROAD MEDICARE
00K53JMedicare ID - Type Unspecified