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Organization
GCSA AMBULATORY SURGERY CENTER, LLC
Active
Organization
GCSA AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BLACH (OFFICER / AUTHORIZED OFFICIAL)
(713) 343-0832
Entity
Organization
Contact information
Practice address
5223 HAMILTON WOLFE, SAN ANTONIO, TX 78229
(210) 614-1234
(210) 614-0952
Mailing address
4801 NW LOOP 410 STE 812, SAN ANTONIO, TX 78229-5347
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
TX
Other
Enumeration date
01/07/2013
Last updated
10/07/2024
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