Provider Demographics
NPI:1821008939
Name:SOUTHEAST SURGICAL ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:SOUTHEAST SURGICAL ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:FRANKLIN JR
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:210-333-7510
Mailing Address - Street 1:8019 S NEW BRAUNFELS
Mailing Address - Street 2:SUITE 115
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78235-1069
Mailing Address - Country:US
Mailing Address - Phone:210-333-7510
Mailing Address - Fax:210-333-1912
Practice Address - Street 1:8019 S NEW BRAUNFELS
Practice Address - Street 2:SUITE 115
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78235-1069
Practice Address - Country:US
Practice Address - Phone:210-333-7510
Practice Address - Fax:210-333-1912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0851701-01Medicaid
TX00T24EMedicare UPIN