San Antonio Operative Monitoring, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

M9760 Issued in TX

Legal business name

SAN ANTONIO OPERATIVE MONITORING, LLC

Practice address

4423 NW Loop 410
Suite 103
San Antonio, TX 78229-5145

Phone

(210) 255-8935

Fax

(210) 255-8026

NPI assigned

Jan 28, 2013

Last updated

Jan 28, 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

Gerardo Zavala II, M.D.

Title

Owner/Physician

Phone

(210) 255-8935

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1992043814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 NW LOOP 410",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295145",
            "telephone_number": "210-255-8935",
            "fax_number": "210-255-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 NW LOOP 410",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295145",
            "telephone_number": "210-255-8935",
            "fax_number": "210-255-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO OPERATIVE MONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "ZAVALA",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "210-255-8935",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "M9760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• San Antonio Oral Surgery, P.a.
• San Antonio Orthotics
• San Antonio Orthotics Corporation

• Neurological Surgery Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.