Organization
THE SAN ANTONIO ORTHOPAEDIC GROUP, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE M KEAN (CHIEF OPERATING OFFICER)
(210) 804-5442
Entity
Organization
Contact information
Practice address
3327 RESEARCH PLAZA DRIVE, SUITE 404, SAN ANTONIO, TX 78235-5159
(210) 804-5400
(210) 337-0805
Mailing address
400 CONCORD PLAZA DRIVE, SUITE 300, SAN ANTONIO, TX 78216-6904
(210) 804-5400
(210) 804-6825
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
TX
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005GW
BCBS TX
TX
05
—
145160102
—
TX
Enumeration date
09/14/2012
Last updated
08/11/2023
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