MEDICARE: SOUTHWEST TEXAS ORTHOPAEDIC & FRACTURE CLINIC PA

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
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	F7775	TX
2	207X00000X	Orthopaedic Surgery Physician	F7775	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	CH6855	OTHER	TX	RAILROAD

General Provider Information

NPI Number	:	1063531325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST TEXAS ORTHOPAEDIC & FRACTURE CLINIC PA

Provider Business Mailing Address
First Line	:	7220 LOUIS PASTEUR DR STE 140
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4534
Country	:	US
Telephone Number	:	210-615-8292
Fax Number	:	210-615-8297

Provider Business Practice Location Address
First Line	:	7220 LOUIS PASTEUR DR STE 140
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4534
Country	:	US
Telephone Number	:	210-615-8292
Fax Number	:	210-615-8297

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HOWARD J HASSELL
Credential	:	M.D.
Telephone Number	:	210-615-8292

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	09/05/2013

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Directions to “SOUTHWEST TEXAS ORTHOPAEDIC & FRACTURE CLINIC PA ” Practice Location

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