Healthcare Provider Details

I. General information

NPI: 1669945358
Provider Name (Legal Business Name): COMFORT SURGERY CENTER OF SAN ANTONIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2019
Last Update Date: 01/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 ROGERS RD STE 102
SAN ANTONIO TX
78251-4775
US

IV. Provider business mailing address

1919 ROGERS RD STE 102
SAN ANTONIO TX
78251-4775
US

V. Phone/Fax

Practice location:
  • Phone: 210-541-0700
  • Fax: 210-541-6868
Mailing address:
  • Phone: 210-541-0700
  • Fax: 210-541-6868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAURIE LAPENOTIERE
Title or Position: PRACTICE ADMINISTRATOR
Credential: PA
Phone: 210-541-0700