Organization
ST. RAPHAEL'S SURGERY CENTER LLC
Active
Other names
St. Raphael's Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
18518 HARDY OAK BOULEVARD, SUITE #100, SAN ANTONIO, TX 78258
(210) 880-9897
(210) 855-8432
Mailing address
18518 HARDY OAK BLVD, SUITE #100, SAN ANTONIO, TX 78258
(210) 880-9897
(210) 855-8432
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
130183
TX
261QA1903X
Ambulatory Surgical Clinic/Center
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Other
Enumeration date
01/28/2014
Last updated
04/02/2020
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