Organization
THE SAN ANTONIO ORTHOPAEDIC GROUP, LLP
Active
Parent organization
THE SAN ANTONIO ORTHOPAEDIC GROUP, LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SAN ANTONIO ORTHOPAEDIC GROUP, LLP
Authorized official
MRS. CHRISTINE KEAN (CHIEF OPERATING OFFICER)
(210) 804-5400
Entity
Organization
Contact information
Practice address
400 CONCORD PLAZA DR, STE 300, SAN ANTONIO, TX 78216-6904
(210) 804-5416
(210) 678-4142
Mailing address
400 CONCORD PLAZA DR STE 300, SAN ANTONIO, TX 78216-6991
(210) 804-5416
(210) 678-4142
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005GW
BLUE CROSS BLUE SHIELD
TX
05
—
145160102
—
TX
01
—
164374402
MEDICAID DME
TX
01
—
CJ3104
RAILROAD MEDICARE GROUP #
TX
Enumeration date
06/15/2006
Last updated
08/11/2023
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