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Organization
ALAMO HEIGHTS SURGICARE LP
Active
Organization
ALAMO HEIGHTS SURGICARE LP
Active
Other names
Alamo Heights Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE L. REED (OFFICER, AUTHORIZED OFFICIAL)
(972) 763-3859
Entity
Organization
Contact information
Practice address
5307 BROADWAY, STE 100, SAN ANTONIO, TX 78209-5724
(210) 826-7366
(210) 826-5804
Mailing address
5307 BROADWAY, STE 100, SAN ANTONIO, TX 78209-5724
(210) 826-7366
(210) 826-5804
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008174
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750689-01
—
TX
01
—
HH1517
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/01/2005
Last updated
01/21/2013
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