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GASTROENTEROLOGY CLINIC OF SAN ANTONIO, P.A.
NPI 1053490631
Internal Medicine - Gastroenterology in San Antonio, TX

Active since November 03, 2006CLIA Certified · 2 labs
8550 DATAPOINT DR, SUITE 200, SAN ANTONIO, TX 78229(210) 615-8308(210) 615-8313 Get Directions Write a Review

NPPES record last updated: October 29, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gastroenterology Clinic Of San Antonio, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GASTROENTEROLOGY CLINIC OF SAN ANTONIO, P.A. (NPI 1053490631) is a healthcare organization registered as a gastroenterology in San Antonio, Texas and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Russell Havranek, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053490631
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY CLINIC OF SAN ANTONIO, P.A.
Location Address8550 DATAPOINT DR, SUITE 200San Antonio, TX 78229-3270
Mailing Address8550 Datapoint Dr, Suite 200San Antonio, TX 78229-3270 · (210) 615-8308 · Fax (210) 615-8313
Phone(210) 615-8308
Fax(210) 615-8313
Organization SubpartNo
Authorized OfficialRussell HavranekCeo · (210) 615-8308
Enumeration DateNovember 3, 2006
Last NPPES UpdateOctober 29, 2015
✔ NPI 1053490631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
8550 DATAPOINT DR, San Antonio, TX 78229
Open in Google Maps ↗

Other Identifiers 2

Other00BL45TX · Medicare Ptan
Medicaid044080201TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2171901

Gastroenterology Research Of San Antonio · San Antonio, TX
Active · expires Sep 9, 2027
CLIA Number45D2171901
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorRandall Charles
Laboratory Phone(210) 616-3648
Laboratory LocationGastroenterology Research Of San Antonio8550 Datapoint Drive, Suite 230, San Antonio, TX 78229
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 45D0710307

Gastroenterology Clinic Of San Antonio · San Antonio, TX
Active · expires Jul 30, 2027
CLIA Number45D0710307
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorDr. Brian D. Towell
Laboratory Phone(210) 615-8308
Laboratory LocationGastroenterology Clinic Of San Antonio8550 Datapoint Suite 240 Attn Katherine Path Lab, San Antonio, TX 78229
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UAP SAN ANTONIO ENDO, LLC
Nurse Anesthetist, Certified Registered
8550 DATAPOINT DR, SUITE 100
SAN ANTONIO, TX 78229
Bexar County (972) 763-3893
DR. GARY SCOTT GOSSEN M.D.
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Bexar County (210) 615-8308
DR. BASSEM MAZLOUM M.D.
Specialist
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Bexar County (210) 615-8308
DR. NICHOLAS PEREZ MARTINEZ M.D.
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Bexar County (210) 615-8308
VICTOR FRANZ ZURITA MD
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Bexar County (210) 615-8308
CHARLES W RANDALL MD
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Bexar County (210) 615-8308
BRITNEY SALAZAR
Nurse Practitioner
8550 DATAPOINT DR
SAN ANTONIO, TX 78229
Bexar County (210) 615-8308
DAVID L STUMP MD
Internal Medicine (Gastroenterology)
8550 DATAPOINT DR, SUITE 200
SAN ANTONIO, TX 78229
Bexar County (210) 615-8308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gastroenterology Clinic Of San Antonio, P.A.'s NPI number?

The NPI number for Gastroenterology Clinic Of San Antonio, P.A. is 1053490631. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Gastroenterology Clinic Of San Antonio, P.A. located?

Gastroenterology Clinic Of San Antonio, P.A. is located at 8550 Datapoint Dr Suite 200, San Antonio, TX 78229. The listed phone number is (210) 615-8308.

What is Gastroenterology Clinic Of San Antonio, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Gastroenterology Clinic Of San Antonio, P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Gastroenterology Clinic Of San Antonio, P.A. accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Gastroenterology Clinic Of San Antonio, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gastroenterology Clinic Of San Antonio, P.A. was last updated on October 29, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.