Provider Demographics
NPI:1295880987
Name:NORTH SAN ANTONIO HEALTHCARE ASSOCIATES
Entity type:Organization
Organization Name:NORTH SAN ANTONIO HEALTHCARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:T
Authorized Official - Last Name:HILL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:210-822-3646
Mailing Address - Street 1:3338 OAKWELL COURT
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78218-3019
Mailing Address - Country:US
Mailing Address - Phone:210-822-3646
Mailing Address - Fax:210-822-5242
Practice Address - Street 1:3338 OAKWELL COURT
Practice Address - Street 2:SUITE 107
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-3019
Practice Address - Country:US
Practice Address - Phone:210-822-3646
Practice Address - Fax:210-822-5242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHI000N58NMedicare ID - Type UnspecifiedMEDICARE GROUP