MEDICARE: SCOTT LINDEN SLEDGE M.D.

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	207X00000X	Orthopaedic Surgery Physician	H0821	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

General Provider Information

NPI Number	:	1104930361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT LINDEN SLEDGE M.D.

Provider Business Mailing Address
First Line	:	155 E SONTERRA BLVD
Second Line	:	SUITE 211
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-3987
Country	:	US
Telephone Number	:	210-494-9600
Fax Number	:	210-494-9601

Provider Business Practice Location Address
First Line	:	155 E SONTERRA BLVD
Second Line	:	SUITE 211
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-3987
Country	:	US
Telephone Number	:	210-494-9600
Fax Number	:	210-494-9601

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	12/28/2009

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