Organization
SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO, PA
Active
Other names
Sports Medicine Associates of San Antonio, PA
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BIRKELO (CREDENTIALING SPECIALIST)
(210) 756-5240
Entity
Organization
Contact information
Practice address
10622 STATE HIGHWAY 151 STE 205, SAN ANTONIO, TX 78251-4729
(210) 699-8326
(210) 561-7121
Mailing address
PO BOX 268996, DEPT 1131, OKLAHOMA CITY, OK 73126
(210) 699-8326
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/26/2024
Last updated
09/30/2024
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