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Contact Information

RIVER CITY ORAL AND MAXILLOFACIAL SURGERY, PLLC
5418 N LOOP 1604 E
SUITE 101
SAN ANTONIO, TX78023
 Phone: 210-778-0002
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for RIVER CITY ORAL AND MAXILLOFACIAL SURGERY, PLLC

NPI Number 1063987626
LBN Legal business name RIVER CITY ORAL AND MAXILLOFACIAL SURGERY, PLLC
Authorized official MARK HAVERKORN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2018
Last updated 10/10/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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