1093198970 NPI number — SOUTH TEXAS SURGICAL ASSOCIATES PLLC

Table of content: (NPI 1093198970)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093198970 NPI number — SOUTH TEXAS SURGICAL ASSOCIATES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTH TEXAS SURGICAL ASSOCIATES PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093198970
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/09/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8308
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRING
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77387-8308
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-785-8765
Provider Business Mailing Address Fax Number:
281-820-1901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20770 US HIGHWAY 281 N
Provider Second Line Business Practice Location Address:
#108-439
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78258-7519
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-820-1900
Provider Business Practice Location Address Fax Number:
281-820-1901
Provider Enumeration Date:
07/09/2015

Additional Information

Authorized Official

Authorized Official Last Name:
BRUGGEMAN
Authorized Official First Name:
ADAM
Authorized Official Middle Name:
Authorized Official Title or Position:
MBR
Authorized Official Telephone Number:
210-373-3704

Provider Taxonomy Codes

  • Taxonomy code: 363AS0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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