Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Gastroenterology Clinic of San Antonio, PA

Organization Gastroenterology Physician · NPI 1053490631

Gastroenterology Clinic of San Antonio, PA provides Gastroenterology Physician services 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 Not confirmed with CMS for 10 years — call before visiting
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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