Organization
SAN ANTONIO FOOT AND ANKLE ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAVESH SHAH (OWNER)
(210) 928-3668
Entity
Organization
Contact information
Practice address
1646 LOCKHILL SELMA RD, SAN ANTONIO, TX 78213-1929
(210) 928-3668
Mailing address
PO BOX 40055, SAN ANTONIO, TX 78229-1055
(210) 928-3668
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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