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NPI Code Detail

MEDICARE: SOUTH TEXAS AMBULATORY SURGERY CENTER, PLLC

MEDICARE: SOUTH TEXAS AMBULATORY SURGERY CENTER, PLLC
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
1261QA1903XAmbulatory Surgical Clinic/CenterPENDINGTX

General Provider Information

NPI Number : 1306162920
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH TEXAS AMBULATORY SURGERY CENTER, PLLC
Provider Business Mailing Address
First Line : 9238 FLOYD CURL DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-1690
Country : US
Telephone Number : 210-558-6234
Fax Number : 210-615-1840
Provider Business Practice Location Address
First Line : 9238 FLOYD CURL DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-1690
Country : US
Telephone Number : 210-558-6234
Fax Number : 210-615-1840
Authorized Official
Title or Position : PRESIDENT
Name : DR. RYAN PATRICK O'QUINN
Credential : M.D.
Telephone Number : 210-558-6234
Provider Enumeration Date : 04/08/2010
Last Update Date : 04/08/2010

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Directions to “SOUTH TEXAS AMBULATORY SURGERY CENTER, PLLC ” Practice Location

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