Organization
SOUTH TEXAS ASC, LLC
Active
Other names
SOUTH TEXAS SURGICAL INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN LONERGAN (CHIEF OPERATIONS OFFICER)
(210) 695-2757
Entity
Organization
Contact information
Practice address
8122 DATAPOINT DR, SUITE 105, SAN ANTONIO, TX 78229-3264
(210) 200-6392
(210) 200-6394
Mailing address
PO BOX 780849, SAN ANTONIO, TX 78278-0849
(855) 882-2849
(801) 931-2044
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH404A
BCBS PROVIDER ID
TX
Enumeration date
10/04/2017
Last updated
02/20/2023
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