Organization
THE OCULAR SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIE D WILSON (ADMINISTRATOR)
(210) 222-2154
Entity
Organization
Contact information
Practice address
1100 N MAIN AVE, SAN ANTONIO, TX 78212-4701
(210) 222-2154
(210) 227-6056
Mailing address
1100 N MAIN AVE, SAN ANTONIO, TX 78212-4701
(210) 222-2154
(210) 227-6056
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
000175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085892001
—
TX
01
—
490000764
RAILROAD MEDICARE
TX
Enumeration date
03/07/2006
Last updated
03/22/2019
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