Healthcare Provider Details

I. General information

NPI: 1932854809
Provider Name (Legal Business Name): SAN ANTONIO FERTILITY SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2022
Last Update Date: 02/18/2022
Certification Date: 02/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18707 HARDY OAK BLVD STE 505
SAN ANTONIO TX
78258-4891
US

IV. Provider business mailing address

6500 N MOPAC EXPY BLDG I
AUSTIN TX
78731-3282
US

V. Phone/Fax

Practice location:
  • Phone: 210-370-3800
  • Fax: 210-370-3005
Mailing address:
  • Phone: 512-451-0149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0006X
TaxonomyAmbulatory Fertility Facility
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIKA MUNCH
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 210-370-3800