San Antonio Spine Surgery Center Pllc

NPI #1205082104 in Live Oak, Texas

Provider Information

NPI Number: 1205082104
Entity Type: Organization
Organization Name: San Antonio Spine Surgery Center Pllc
Primary Specialty: Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Enumeration Date: Aug 11, 2008
Last Updated: Oct 13, 2008

Practice Location

Address: 12501 JUDSON RD
Address 2: STE 201
City: Live Oak
State: Texas
ZIP Code: 78233-4103
Phone: (210) 615-8292

Authorized Official

Name: YVONNE LOPEZ
Title: CREDENTIALING COORDINATOR
Phone: (210) 615-8292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X	Primary

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