Healthcare Provider Details
I. General information
NPI: 1497610885
Provider Name (Legal Business Name): SOUTH TEXAS ACCIDENT AND INJURY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
505 W BUSINESS HWY 83 STE 7
ALAMO TX
78516
US
IV. Provider business mailing address
505 W BUSINESS HWY 83 STE 7
ALAMO TX
78516
US
V. Phone/Fax
- Phone: 210-763-3887
- Fax:
- Phone: 210-763-3887
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAUL
ANGELO
STAJUANA
Title or Position: OWNER
Credential: DC
Phone: 210-763-3887