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San Lucas Surgical Associates PA

NPI 1508239401ActiveOrganization· Colon & Rectal Surgery· San Antonio, TX

Colon & Rectal Surgery in San Antonio, Texas, registered in NPPES in November 2015. The authorized official on file is Sandy Valdez, Credentialing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1508239401
StatusActive
Entity typeOrganization
NPI issuedNov 2, 2015
Last updated in NPPESMay 21, 2020
Certified by providerMay 21, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Colon & Rectal Surgery Primary208C00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

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