Organization
NOVAMED SURGERY CENTER OF SAN ANTONIO LP
Active
Other names
American Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
12838 VISTA DEL NORTE, SAN ANTONIO, TX 78216
(866) 631-7890
(210) 692-7890
Mailing address
12838 VISTA DEL NORTE, SAN ANTONIO, TX 78216
(866) 631-7890
(210) 692-7890
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184266801
—
TX
01
—
P00339215
RR MEDICARE
—
Enumeration date
05/19/2006
Last updated
07/15/2025
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