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NPI Code Detail

MEDICARE: SAN ANTONIO ORTHOPAEDIC GROUP, LLP

MEDICARE: SAN ANTONIO ORTHOPAEDIC GROUP, LLP
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
1207XS0106XOrthopaedic Hand Surgery Physician
2207XX0004XOrthopaedic Foot and Ankle Surgery Physician
3207XX0005XSports Medicine (Orthopaedic Surgery) Physician
4208100000XPhysical Medicine & Rehabilitation Physician
5207X00000XOrthopaedic Surgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10005GWOTHERTXBCBS TX
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972830354
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAN ANTONIO ORTHOPAEDIC GROUP, LLP
Provider Business Mailing Address
First Line : 400 CONCORD PLAZA DR
Second Line : SUITE 300
City : SAN ANTONIO
State : TX
Zip : 78216-6905
Country : US
Telephone Number : 210-804-5400
Fax Number : 210-678-4138
Provider Business Practice Location Address
First Line : 5000 BAPTIST HEALTH DR
Second Line : SUITE 116
City : SCHERTZ
State : TX
Zip : 78154-1193
Country : US
Telephone Number : 210-804-5400
Fax Number : 210-678-4138
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : CHRISTINE M. KEAN
Credential :
Telephone Number : 210-804-5400
Provider Enumeration Date : 11/05/2009
Last Update Date : 08/11/2023

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