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NPI Code Detail

MEDICARE: ORTHOPEDIC & SPINE SURGICAL HOSPITAL OF SOUTH TEXAS, L.P.

MEDICARE: ORTHOPEDIC & SPINE SURGICAL HOSPITAL OF SOUTH TEXAS, L.P.
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
1282N00000XGeneral Acute Care Hospital007868TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3349118800OTHERTXDEPARTMENT OF LABOR ACL D
4HH1019OTHERTXBCBS

General Provider Information

NPI Number : 1295890093
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPEDIC & SPINE SURGICAL HOSPITAL OF SOUTH TEXAS, L.P.
Provider Business Mailing Address
First Line : 18600 HARDY OAK BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4206
Country : US
Telephone Number : 210-507-4179
Fax Number : 210-404-0800
Provider Business Practice Location Address
First Line : 18600 NORTH HARDY OAK BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4206
Country : US
Telephone Number : 210-404-0800
Fax Number :
Authorized Official
Title or Position : OFFICER AND AUTHORIZED OFFICIAL
Name : JENNIFER BOYD BALDOCK
Credential :
Telephone Number : 615-234-5954
Provider Enumeration Date : 12/22/2006
Last Update Date : 10/27/2023

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