Organization · Type 2 NPI

Prime Oak Group LLC

Clinic/Center · San Antonio, TX

NPI number 1770969099 Active

Practice location

6830 Heuermann Rd
San Antonio, TX 78256-9603

Fax (210) 802-4351

Specialties and licenses

Taxonomy	Code	License
Surgery Physician	208600000X	None listed
Clinic/Center Primary	261Q00000X	None listed
Ambulatory Surgical Clinic/Center	261QA1903X	None listed

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).

3 other providers at this address

Other clinic/center providers in San Antonio

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NPI record

NPI: 1770969099
Entity type: Organization (Type 2)
Issued: Aug 10, 2015
Last updated: Nov 24, 2020
Status: Active

Other names

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Sa Heart Vascular and Rhythm Center · doing business as
Sa Heart Vascular and Rhythm Center · doing business as

Authorized official

Sandra M Ibarra-Narvaez
Office Manager
(210) 272-0098

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1770969099

Prime Oak Group LLC's National Provider Identifier is 1770969099, issued on Aug 10, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Antonio, TX. The record was last updated on Nov 24, 2020.