Organization Active NPI

Interventional Surgical Care, LP

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
National Provider Identifier
1669673828
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
007132 Issued in TX
Legal business name
INTERVENTIONAL SURGICAL CARE, LP
Practice address
6501 Blanco Rd
San Antonio, TX 78216-6627
Phone
(956) 554-7733
NPI assigned
May 29, 2007
Last updated
Oct 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Igor Kozlik
Title
Ceo
Phone
(956) 554-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 007132 TX Primary

Addresses

Primary practice location

6501 Blanco Rd
San Antonio, TX 78216-6627

Mailing address

1100 N Expressway 83
Ste 3
Brownsville, TX 78521
Phone (956) 554-7733

National Provider Directory

National Provider Directory

Locations

1100 N Expressway
Ste 3
Brownsville, TX 78521
Phone (956) 504-3200

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1669673828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N EXPRESSWAY 83",
            "address_2": "STE 3",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78521",
            "telephone_number": "956-554-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166627",
            "telephone_number": "956-554-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL SURGICAL CARE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "KOZLIK",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-554-7733"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.