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Organization

THE SAN ANTONIO ORTHOPAEDIC GROUP, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINE M. KEAN (CHIEF OPERATING OFFICER)
(210) 804-5400
Entity
Organization

Contact information

Practice address
400 CONCORD PLAZA DR, SUITE 300, SAN ANTONIO, TX 78216-6905
(210) 804-5400
(210) 678-4142
Mailing address
10114 HUEBNER RD, SAN ANTONIO, TX 78240-1319
(210) 477-3668
(210) 558-0868

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005GW
BCBS TX
TX
05
145160102
TX
Enumeration date
07/31/2014
Last updated
08/11/2023
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