Organization
HILL COUNTRY ORTHOPAEDIC SURGERY & SPORTS MEDICINE MD PA
Active
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
Update your record
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