Gastroenterology Clinic of San Antonio, P.A.
NPI 1053490631ActiveOrganization· Internal Medicine, Gastroenterology· San Antonio, TX
Internal Medicine, Gastroenterology in San Antonio, Texas, registered in NPPES in November 2006. The authorized official on file is Russell Havranek, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053490631 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2006 |
| Last updated in NPPES | Oct 29, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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