Organization Name:  CERTIFIED ALLERGY & ASTHMA OF SAN ANTONIO, PA


Practice Location:
8285 FREDERICKSBURG RD  SAN ANTONIO, TX 78229 US
Tel: 210-614-3923  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology

Other Provider Identifiers:

Issuer	Number	State	Type
BCBS TX	89490B	TX	01
	081181201	TX	05
BCBS OF TX	0080AZ		01
BCBS TX	8585MO	TX	01
RAILROAD MEDICARE	30003668		01
BCBSTX	89491B	TX	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin