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Organization
SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO, PA
Active
Organization
SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BIRKELO (CREDENTIALING SPECIALIST)
(210) 756-5240
Entity
Organization
Contact information
Practice address
430 W SUNSET RD STE 440, SAN ANTONIO, TX 78209-1770
(210) 699-8326
Mailing address
21 SPURS LN STE 300, SAN ANTONIO, TX 78240-1679
(210) 756-5240
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/24/2024
Last updated
09/30/2024
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