Organization
SOUTHCROSS SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH PATIALA (BUSINESS MANAGER)
(210) 255-8084
Entity
Organization
Contact information
Practice address
4025 E. SOUTHCROSS, BLDG 3 STE. 15, SAN ANTONIO, TX 78222
(210) 530-4075
(210) 530-4081
Mailing address
PO BOX 2118, SAN ANTONIO, TX 78229-2118
(210) 530-4075
(210) 530-4081
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008629
DEPT OF STATE HEALTH SERVICES FACILITY LICENSING GROUP
TX
Enumeration date
06/04/2008
Last updated
05/12/2009
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