Organization
PEDIATRIC ORTHOPEDIC ASSOCIATES OF SAN ANTONIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEY WELCH (PRACTICE ADMINISTRATOR)
(210) 692-1613
Entity
Organization
Contact information
Practice address
4499 MEDICAL DR., SUITE 235, SAN ANTONIO, TX 78229-3712
(210) 692-1613
(210) 616-0290
Mailing address
4499 MEDICAL DR., SUITE 235, SAN ANTONIO, TX 78229-3712
(210) 692-1613
(210) 616-0290
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121751505
—
TX
01
—
121751506
CSHCN
TX
Enumeration date
06/18/2006
Last updated
02/06/2020
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