Organization
SOUTH TEXAS ORTHODONTICS
Active
Organization
SOUTH TEXAS ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHERYL WALLACE (OFFICE MANAGER)
(210) 493-6067
Entity
Organization
Contact information
Practice address
14855 BLANCO RD STE 109, SAN ANTONIO, TX 78216-7728
(210) 493-6067
(210) 493-0430
Mailing address
14855 BLANCO RD STE 109, SAN ANTONIO, TX 78216-7728
(210) 493-6067
(210) 493-0430
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up