MEDICARE: H TOWN SURGICAL ASSOCIATES, 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
1	363AS0400X	Surgical Physician Assistant
2	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1336002542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H TOWN SURGICAL ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	1141 N LOOP 1604 E # 105-612
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-1339
Country	:	US
Telephone Number	:	210-598-4268
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 RIVERWOOD CT STE 305
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2974
Country	:	US
Telephone Number	:	210-598-4268
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PRAVEEN REDDY
Credential	:	MD
Telephone Number	:	210-598-4268

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/16/2025

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