M.D. Anthony Thomas Stavros, NPI 1982658381
Diagnostic Radiology Physician in San Antonio, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1982658381
NPI Entity Type Individual
Provider Name M.D. Anthony Thomas Stavros
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 5253 Prue Rd, Suite 315, Building 3, San Antonio, TX, US
Provider Mailing Address 5253 Prue Rd, Suite 315, Building 3, San Antonio, TX, US, 782401758
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. Q2069
License State TX
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

M.D. Anthony Thomas Stavros
5253 Prue Rd
Suite 315, Building 3

San Antonio, TX, US

Phone: 707-849-6548

Mailing Address

M.D. Anthony Thomas Stavros
5253 Prue Rd
Suite 315, Building 3
San Antonio, TX, US
ZIP 782401758
Phone: 707-849-6548

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

18255 CO No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
053211101 TX MEDICAID 05
200425010A KS MEDICAID 05
300090435 CO RR RIA MCRE 01
117210700 WY MEDICAID 05
300090433 CO RR DIA MCRE 01
1982658381 UT MEDICAID 05
300048672 CO RR MIC MCRE 01
01182559 CO MEDICAID 05
104686383 MI MEDICAID 05

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