Colon & Rectal Surgical Associates of San Antonio, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

00TS98 Issued in TX

Legal business name

COLON & RECTAL SURGICAL ASSOCIATES OF SAN ANTONIO, P.A.

Practice address

7950 Floyd Curl Dr
Ste 101
San Antonio, TX 78229-3916

Phone

(210) 614-0880

Fax

(210) 692-0301

NPI assigned

Jun 18, 2006

Last updated

Sep 23, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Renee Keller

Title

Administrator

Phone

(210) 614-0892

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1639114275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 FLOYD CURL DR",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293919",
            "telephone_number": "210-614-0880",
            "fax_number": "210-692-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 FLOYD CURL DR",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293916",
            "telephone_number": "210-614-0880",
            "fax_number": "210-692-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON & RECTAL SURGICAL ASSOCIATES OF SAN ANTONIO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-614-0892",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "00TS98",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "00TS98",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085514001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni Collins
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• Laurie Collis, DNP
• Colmex Home Care, LLC (FirstLight Home Care of San Antonio)
• Wilmarie Colon-Burgos
• Bryan Joseph Colon, PT, DPT, MBA
• Kristi Colon
• Marie Colon
• Miranda Colon

• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.