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NPI Code Detail

MEDICARE: ORTHOPEDIC & SPINE SURGICAL HOSPITAL OF SOUTH TEXAS, L.P.

MEDICARE: ORTHOPEDIC & SPINE SURGICAL HOSPITAL OF SOUTH TEXAS, L.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician007868TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366854168
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPEDIC & SPINE SURGICAL HOSPITAL OF SOUTH TEXAS, L.P.
Provider Business Mailing Address
First Line : 18600 HARDY OAK BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4206
Country : US
Telephone Number : 210-507-4090
Fax Number : 210-404-0802
Provider Business Practice Location Address
First Line : 18600 HARDY OAK BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4206
Country : US
Telephone Number : 210-404-0800
Fax Number : 210-404-0802
Authorized Official
Title or Position : OFFICER AND AUTHORIZED OFFICIAL
Name : JENNIFER BOYD BALDOCK
Credential :
Telephone Number : 615-234-5954
Provider Enumeration Date : 05/28/2014
Last Update Date : 12/22/2025

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Directions to “ORTHOPEDIC & SPINE SURGICAL HOSPITAL OF SOUTH TEXAS, L.P. ” Practice Location

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