Organization
LAREDO SPORTS MEDICINE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN V PUIG II M.D. (OWNER)
(956) 727-2122
Entity
Organization
Contact information
Practice address
7109 N BARTLETT AVE STE 109, LAREDO, TX 78041-6473
(956) 727-2122
(956) 727-4445
Mailing address
7109 N BARTLETT AVE STE 109, LAREDO, TX 78041-6473
(956) 727-2122
(956) 727-4445
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045KN
BCBS
TX
05
—
1591232-02
—
TX
Enumeration date
04/04/2007
Last updated
06/23/2025
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