Provider Demographics
NPI:1780714790
Name:SAN ANTONIO MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:SAN ANTONIO MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:H
Authorized Official - Last Name:HEMPEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-224-4811
Mailing Address - Street 1:SUITE 703 414 NAVARRO
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2515
Mailing Address - Country:US
Mailing Address - Phone:210-224-4811
Mailing Address - Fax:210-224-8678
Practice Address - Street 1:SUITE 703 414 NAVARRO
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-2515
Practice Address - Country:US
Practice Address - Phone:210-224-4811
Practice Address - Fax:210-224-8678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00E754OtherBCBS
00E754OtherBCBS