| San Antonio Surgical Arts, P.a. | |
|
6501 Blanco Rd San Antonio TX 78216-6627 | |
| (210) 341-7264 | |
| (210) 341-2022 |
| Full Name | San Antonio Surgical Arts, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 6501 Blanco Rd, San Antonio, Texas |
| Authorized Official Name and Position | Margaret Casillas (ADMINISTRATOR) |
| Authorized Official Contact | 2103417264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Surgical Arts, P.a. 6501 Blanco Rd San Antonio TX 78216-6627 Ph: (210) 341-7264 | San Antonio Surgical Arts, P.a. 6501 Blanco Rd San Antonio TX 78216-6627 Ph: (210) 341-7264 |
| NPI Number | 1952380511 |
|---|---|
| Provider Enumeration Date | 01/12/2006 |
| Last Update Date | 03/07/2013 |
| Medicare PECOS PAC ID | 9537164488 |
|---|---|
| Medicare Enrollment ID | O20060927000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952380511 | NPI | - | NPPES |
| 009624008 | Medicaid | TX | |
| 023065801 | Medicaid | TX | |
| 009624001 | Medicaid | TX | |
| 00N96A | Other | BCBS | |
| 009624002 | Medicaid | TX | |
| 009624003 | Medicaid | TX | |
| 009624005 | Medicaid | TX | |
| 009624006 | Medicaid | TX | |
| 009624007 | Medicaid | TX | |
| 838355 | Other | UNITED CONCORDIA | |
| CE7550 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Texas) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Mark Haverkorn |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1568672996 PECOS PAC ID: 8921153883 Enrollment ID: I20090831000040 |
J.perry Fikes D.d.s P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Loop 1604 E, Suite 205, San Antonio, TX 78232 Phone: 210-496-3869 | |
Valudental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Marbach Rd, San Antonio, TX 78227 Phone: 904-994-0410 | |
Access Orthodontics Of White, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 South Ww White Road, San Antonio, TX 78220 Phone: 210-337-7600 | |
Chu Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11309 Bandera Rd, Suite 101, San Antonio, TX 78250 Phone: 210-684-8033 Fax: 210-684-8056 | |
Pax Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5311 N Loop 1604 W Ste 123, San Antonio, TX 78249 Phone: 210-276-0600 | |
Ideal Dental Brooks City Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 S. New Braunfels Ave, Ste 105, San Antonio, TX 78235 Phone: 210-800-8410 | |
Atique Orthodontics, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2770 E Evans Rd, Suite 103, San Antonio, TX 78259 Phone: 210-497-5500 |