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SOUTH TEXAS SPINAL CLINIC P.A. NPI 1679506653


NPI Information

NPI: 1679506653
Provider Name: SOUTH TEXAS SPINAL CLINIC, P.A.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 45D0987940

Address:
18626 HARDY OAK BLVD STE 300
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 495-9047
Get Directions

SOUTH TEXAS SPINAL CLINIC, P.A. 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. SOUTH TEXAS SPINAL CLINIC, P.A. NPI is 1679506653. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18626 HARDY OAK BLVD STE 300
SAN ANTONIO, TX
ZIP 78258-228
Phone: (210) 495-9047
Fax: (210) 293-2772

The provider's authorized official is James W. Simmons .
The authorized official title is President and has the following contact phone number (210) 495-9047.

The CLIA number assigned to this NPI record is 45D0987940 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 10/28/2021.


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
1225100000XPhysical TherapistNo
2207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
4208100000XPhysical Medicine & RehabilitationNo
52081P2900XPhysical Medicine & RehabilitationPain MedicineNo
6332B00000XDurable Medical Equipment & Medical SuppliesNo
7363A00000XPhysician AssistantNo
8363L00000XNurse PractitionerNo
9207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1082409604MEDICAIDTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.