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UNIVERSITY OF THE INCARNATE WORD NPI 1780057513


NPI Information

NPI: 1780057513
Provider Name: UNIVERSITY OF THE INCARNATE WORD

Doing Business As: UNIVERSITY OF THE INCARNATE WORD SPORTS MEDICINE

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
4301 BROADWAY ST # 288
SAN ANTONIO, TX
ZIP 78209
Phone: (210) 283-6481
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UNIVERSITY OF THE INCARNATE WORD is an orthopaedic surgery in San Antonio, TX. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. UNIVERSITY OF THE INCARNATE WORD NPI is 1780057513. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As University Of The Incarnate Word Sports Medicine.

The provider's business location address is:

4301 BROADWAY ST # 288
SAN ANTONIO, TX
ZIP 78209-318
Phone: (210) 283-6481
Fax: (210) 634-1252

The provider's authorized official is Bj Lough .
The authorized official title is Associate Athletic Dir Sport Med and has the following contact phone number (210) 283-6481.

The enumeration date for this NPI number is 11/2/2015 and was last updated on 10/2/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207XX0005XOrthopaedic SurgerySports MedicineNo
3207X00000XOrthopaedic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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