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Organization

SURGICAL PRACTICES OF SOUTH TEXAS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOISES MATEO SOULAS IX M.D. (PRESIDENT/MANAGER)
(210) 545-3660
Entity
Organization

Contact information

Practice address
343 W HOUSTON ST, SUITE 705, SAN ANTONIO, TX 78205-2107
(210) 545-3660
Mailing address
343 W HOUSTON ST, SUITE 705, SAN ANTONIO, TX 78205-2107
(210) 545-3660

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
208600000X
Surgery Physician
208C00000X
Colon & Rectal Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
TX
Enumeration date
07/08/2006
Last updated
09/11/2025
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