Provider Demographics
NPI:1174874648
Name:UMA C NAIR MD PLLC
Entity type:Organization
Organization Name:UMA C NAIR MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:UMA
Authorized Official - Middle Name:C
Authorized Official - Last Name:NAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-872-4710
Mailing Address - Street 1:1150 N LOOP 1604 W
Mailing Address - Street 2:STE 108-459
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-4503
Mailing Address - Country:US
Mailing Address - Phone:210-733-0578
Mailing Address - Fax:210-587-8549
Practice Address - Street 1:147 W SUNSET RD
Practice Address - Street 2:STE 200
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2676
Practice Address - Country:US
Practice Address - Phone:210-733-0578
Practice Address - Fax:210-587-8549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-25
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0151207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX307061701Medicaid
TX307061701Medicaid