Organization
SPORTSORTHO SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A LIDBOM OXFORD (BILLING MANAGER)
(956) 465-1091
Entity
Organization
Contact information
Practice address
610 KAIMALI DR, HARLINGEN, TX 78550-0233
(956) 232-3088
(855) 594-8131
Mailing address
PO BOX 531060, HARLINGEN, TX 78553-1060
(956) 232-3088
(855) 594-8131
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130384
STATE LICENSE
TX
05
—
391353501
—
TX
01
—
45D2145076
CLIA ID NUMBER
TX
Enumeration date
05/10/2016
Last updated
06/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us