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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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