# SOUTHSIDE ORTHOPAEDIC & REHABILITATION ASSOCIATES PA.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134395593
- **Authorized official:** DR. PABLO GUAJARDO M.D. (OWNER)
- **Authorized official phone:** (210) 922-0621

## Contact information

- **Practice address:** 303 E QUINCY, SUITE 102, SAN ANTONIO, TX 78215-1922
- **Practice address phone:** (210) 922-0621
- **Practice address fax:** (210) 927-1171
- **Mailing address:** 303 E QUINCY, SUITE 102, SAN ANTONIO, TX 78215-1922
- **Mailing address phone:** (210) 922-0621
- **Mailing address fax:** (210) 927-1171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | E7415 | TX | Yes |

## Other

- **Enumeration date:** 05/06/2008
- **Last updated:** 07/28/2014