Organization
ALAMO CITY SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BRAID M.D. (EXECUTIVE ADMINISTRATOR)
(210) 614-4742
Entity
Organization
Contact information
Practice address
7402 JOHN SMITH, SUITE 104, SAN ANTONIO, TX 78229-4588
(210) 614-4742
Mailing address
7402 JOHN SMITH, SUITE 104, SAN ANTONIO, TX 78229-4588
(210) 614-4742
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130238
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E3654
MEDICAL LICENSE
TX
01
—
E6484
MEDICAL LICENSE
TX
01
—
E9513
MEDICAL LICENSE
—
01
—
G6650
MEDICAL LICENSE
TX
Enumeration date
09/22/2015
Last updated
09/22/2015
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