NORTHEAST BAPTIST SURGERY CENTER LLC
Surgery Yellow Pages
San Antonio, Texas
Provider NPI: 1407853740
Organization Information:Organization Name: NORTHEAST BAPTIST SURGERY CENTER LLC
Practice Location:
8715 VILLAGE DR SUITE 200 SAN ANTONIO, TX 78217 US
Tel: 210-477-1775 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
8715 VILLAGE DR SUITE 200 SAN ANTONIO, TX 78217 US
Tel: 210-477-1775 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | TX | 000369 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
RAILROAD MEDICARE | 490003869 | TX | 01 |
087944701 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin