# AMISTAD SURGICAL & LAPAROSCOPIC CLINIC

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

## Provider details

- **NPI number:** 1699950691
- **Authorized official:** DR. ANTHONY HATSUO MAEDA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (210) 392-5900

## Contact information

- **Practice address:** 517 N BEDELL AVE, DEL RIO, TX 78840-4807
- **Practice address phone:** (830) 774-4099
- **Practice address fax:** (830) 774-0890
- **Mailing address:** 517 N BEDELL AVE, DEL RIO, TX 78840-4807
- **Mailing address phone:** (830) 774-4099
- **Mailing address fax:** (830) 774-0890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | J1719 | TX | Yes |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 08/06/2026