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CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC NPI 1164448486


NPI Information

NPI: 1164448486
Provider Name: CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC

Doing Business As: CHRISTUS SANTA ROSA PHYSICIANS AMBULATORY SURGERY CENTER-STONE OAK

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D1056990

Address:
502 MADISON OAK DR STE 500
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 499-6700
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CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC is an ambulatory surgical clinic center in San Antonio, TX. CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC NPI is 1164448486. The provider is registered as an organization entity type.
The provider Is Doing Business As Christus Santa Rosa Physicians Ambulatory Surgery Center-stone Oak.

The provider's business location address is:

502 MADISON OAK DR STE 500
SAN ANTONIO, TX
ZIP 78258-193
Phone: (210) 499-6700
Fax: (210) 499-6701

The provider's authorized official is Gary K Ruff .
The authorized official title is President and has the following contact phone number (469) 282-2637.

The CLIA number assigned to this NPI record is 45D1056990 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 5/12/2022.


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
1261QA1903XClinic/CenterAmbulatory Surgical008396TEXASYes

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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