Organization
THE SAN ANTONIO ORTHOPAEDIC GROUP, LLP
Active
Parent organization
THE SAN ANTONIO ORTHOPAEDIC GROUP, LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SAN ANTONIO ORTHOPAEDIC GROUP, LLP
Authorized official
MRS. CHLOE B CASTILLO (CREDENTIALING SPECIALIST)
(210) 804-5416
Entity
Organization
Contact information
Practice address
2829 BABCOCK RD, SUITE 700, SAN ANTONIO, TX 78229-6015
(210) 804-5400
(210) 678-4142
Mailing address
PO BOX 2516, SAN ANTONIO, TX 78299-2516
(210) 804-5400
(210) 804-6801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005GW
BC PROV #
TX
05
—
145160102
—
TX
01
—
164379302
MEDICAID DME
TX
01
—
CJ3104
RAILROAD MEDICARE
—
Enumeration date
11/30/2006
Last updated
08/11/2023
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