Organization · Type 2 NPI
Shivam Medical Group, PA
Clinic/Center · San Antonio, TX
NPI number
1699112052
Active
Practice location
8518 Culebra Road, Suite 107
San Antonio, TX 78251
Fax (210) 971-9077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | L2392 (TX) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1699112052
Shivam Medical Group, PA's National Provider Identifier is 1699112052, issued on May 25, 2013. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Antonio, TX. The record was last updated on Jun 25, 2024.