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MISSION SURGERY CENTER LLC NPI 1194323725


NPI Information

NPI: 1194323725
Provider Name: MISSION SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D2238850

Address:
603 E AMBER ST, SUITE 103
SAN ANTONIO, TX
ZIP 78221
Phone: (210) 259-5836
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MISSION SURGERY CENTER LLC is an ambulatory surgical clinic center in San Antonio, TX. MISSION SURGERY CENTER LLC NPI is 1194323725. The provider is registered as an organization entity type.

The provider's business location address is:

603 E AMBER ST, SUITE 103
SAN ANTONIO, TX
ZIP 78221-822
Phone: (210) 259-5836

The provider's authorized official is Carl Negley .
The authorized official title is Administrator and has the following contact phone number (210) 259-5836.

The CLIA number assigned to this NPI record is 45D2238850 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2020 and was last updated on 10/15/2020.


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 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: 4/28/2024

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