Organization
SOUTH TEXAS ORTHOPEDIC SPECIALTY GROUP, PLLC
Active
Organization
SOUTH TEXAS ORTHOPEDIC SPECIALTY GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY TUDER M.D. (AUTHORIZED OFFICIAL)
(210) 598-5605
Entity
Organization
Contact information
Practice address
10010 ROGERS XING STE 308, SAN ANTONIO, TX 78251-4776
(210) 598-5605
(210) 598-5620
Mailing address
10010 ROGERS XING STE 308, SAN ANTONIO, TX 78251-4776
(210) 598-5605
(210) 598-5620
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/14/2012
Last updated
01/05/2022
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