STONE OAK SURGERY CENTER LLC NPI 1407144132

NPI Information

  • NPI: 1407144132
  • Provider Name: STONE OAK SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 123 N LOOP 1604 E
    SUITE 107
    SAN ANTONIO, TX
    ZIP 78232
  • Phone: (210) 267-1374

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NPI Details

STONE OAK SURGERY CENTER, LLC is an ambulatory surgical clinic center in San Antonio, TX. STONE OAK SURGERY CENTER, LLC NPI is 1407144132. The provider is registered as an organization entity type.

The provider's business location address is:

123 N LOOP 1604 E
SUITE 107
SAN ANTONIO, TX
ZIP 78232-388
Phone: (210) 267-1374
Fax: (210) 267-1459

The provider's authorized official is William Alec Tisdale .
The authorized official title is Chief Of Staff and has the following contact phone number (210) 267-1374.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Injection of anesthetic agent and/or steroid into spine and pelvis nerve using imaging guidance (HCPCS:64451)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Destruction of nerves supplying joint between spine and pelvis using imaging guidance (HCPCS:64625)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Insertion of programmable spinal canal drug infusion pump (HCPCS:62362)
  • Insertion, revision, or repositioning of spinal canal tube for medication administration (HCPCS:62350)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
  • Revision of spinal neurostimulator electrode array using fluoroscopic guidance (HCPCS:63663)

The enumeration date for this NPI number is 7/15/2011 and was last updated on 11/21/2011.

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

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