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Organization

HILL COUNTRY ORTHOPAEDIC SURGERY & SPORTS MEDICINE MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAYNE A LEE MD (PRESIDENT)
(210) 491-4125
Entity
Organization

Contact information

Practice address
540 MADISON OAK DR, SUITE 690, SAN ANTONIO, TX 78258-3943
(210) 491-4125
(210) 491-4138
Mailing address
13423 BLANCO RD, PMB 140, SAN ANTONIO, TX 78216-2187
(210) 491-4125
(210) 491-4138

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
K1523
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00979R
BCBS
TX
05
148990801
TX
Enumeration date
12/01/2006
Last updated
09/20/2012
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