Organization
THE SAN ANTONIO ORTHOPAEDIC GROUP, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN STACEY HARDING (CREDENTIALING MANAGER)
(210) 804-5911
Entity
Organization
Contact information
Practice address
400 CONCORD PLAZA DR, SUITE 300, SAN ANTONIO, TX 78216-6905
(210) 804-5400
Mailing address
PO BOX 9585, BELFAST, ME 04915-9585
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2084N0400X
Neurology Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005GW
BCBS GROUP #
TX
05
—
145160102
—
TX
Enumeration date
11/15/2007
Last updated
09/03/2025
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