Northeast Baptist Surgery Center Llc

NPI 1407853740 - Clinic/Center - 261QA1903X

NPI Details
NPI 1407853740
Enumeration Date 07/01/2005
Last Updated 11/05/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MISTY DIANE MISTY
Position ADMINISTRATOR
Phone (210) 477-1775
Fax (210) 477-1794
Practice Location
8715 VILLAGE DR
SUITE 200
SAN ANTONIO TX, 78217, US
Phone (210) 477-1775
Fax (210) 477-1794
Business Location
8715 VILLAGE DR
SUITE 200
SAN ANTONIO TX, 78217, US
Phone (210) 477-1775
Fax (210) 477-1794
Toxanomy
Taxonomy Code 261QA1903X
License State Texas
License Number 000369
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According to our database, Northeast Baptist Surgery Center Llc NPI is 1407853740, taxonomy code is 261QA1903X and license number is 000369, license state is located at Texas. Northeast Baptist Surgery Center Llc physically located at 8715 Village Dr, San Antonio TX, 78217. NPI Number 1033115704 has the healthcare provider type.

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1407853740 NPI number is provided on an as is basis without warranty of any kind. 1407853740 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Baptist Surgery Center Llc are for informational purposes only.