Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gastroenterology Clinic of San Antonio, PA

Organization Gastroenterology Physician · NPI 1053490631

Gastroenterology Clinic of San Antonio, PA is a Gastroenterology Physician in San Antonio, Texas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8550 Datapoint Dr Ste 200
San Antonio, TX 78229-3270
Phone: (210) 615-8308
Fax: (210) 615-8313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X

Record details

NPI number1053490631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Havranek — Ceo · (210) 615-8308
NPI enumeratedNovember 3, 2006
Last updated in NPPESOctober 29, 2015
Mailing address8550 Datapoint Dr, Suite 200, San Antonio, TX 78229-3270

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