SAN ANTONIO CHILDRENS SURGICAL NPI 1144650060

NPI Information

  • NPI: 1144650060
  • Provider Name: SAN ANTONIO CHILDRENS SURGICAL
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 45D2084755
  • Address: 8706 FREDERICKSBURG RD STE 104
    SAN ANTONIO, TX
    ZIP 78240
  • Phone: (210) 598-7918

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NPI Details

SAN ANTONIO CHILDRENS SURGICAL is an ambulatory surgical clinic center in San Antonio, TX. SAN ANTONIO CHILDRENS SURGICAL NPI is 1144650060. The provider is registered as an organization entity type.

The provider's business location address is:

8706 FREDERICKSBURG RD STE 104
SAN ANTONIO, TX
ZIP 78240-293
Phone: (210) 598-7918

The provider's authorized official is Devin Larsen .
The authorized official title is Ceo and has the following contact phone number (713) 489-2198.

The CLIA number assigned to this NPI record is 45D2084755 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2013 and was last updated on 4/22/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

NPI Synchronization or Removal

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