Provider Demographics
NPI:1134184831
Name:GREATER SAN ANTONIO EMERGENCY PHYSICIANS, PA
Entity type:Organization
Organization Name:GREATER SAN ANTONIO EMERGENCY PHYSICIANS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:FROLICHSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-614-0180
Mailing Address - Street 1:4204 GARDENDALE ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3141
Mailing Address - Country:US
Mailing Address - Phone:210-293-6006
Mailing Address - Fax:210-614-1722
Practice Address - Street 1:4204 GARDENDALE ST
Practice Address - Street 2:SUITE 312
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3141
Practice Address - Country:US
Practice Address - Phone:210-293-6006
Practice Address - Fax:210-614-1722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX085418401Medicaid
TXT88ZOtherBCBS
TXT88ZOtherBCBS
TXCG7637Medicare PIN
TX085418401Medicaid