Organization
STONE OAK SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ALEC TISDALE MD (CHIEF OF STAFF)
(210) 267-1374
Entity
Organization
Contact information
Practice address
123 N LOOP 1604 E, SUITE 107, SAN ANTONIO, TX 78232-1388
(210) 267-1374
(210) 267-1459
Mailing address
123 N LOOP 1604 E, SUITE 107, SAN ANTONIO, TX 78232-1388
(210) 267-1374
(210) 267-1459
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2011
Last updated
11/21/2011
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