Organization
S.A.O.S., P.L.L.C.
Active
Organization
S.A.O.S., P.L.L.C.
Active
Other names
San Antonio Orthopaedic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BRANDON BROOME MD (MD/OWNER)
(210) 614-5100
Entity
Organization
Contact information
Practice address
225 E SONTERRA BLVD STE 220, SAN ANTONIO, TX 78258-3992
(210) 614-5100
(210) 614-5103
Mailing address
PO BOX 47052, SAN ANTONIO, TX 78265-7052
(210) 614-5100
(210) 614-5103
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091HW
BCBS
TX
01
—
7048559
AETNA
TX
Enumeration date
01/06/2006
Last updated
05/11/2021
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