Organization
NORTH CENTRAL METHODIST ASC, LP
Active
Other names
Methodist Ambulatory Surgery Center North Central
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY A CARR (CHIEF FINANCIAL OFFICER)
(210) 575-0238
Entity
Organization
Contact information
Practice address
19010 STONE OAK PKWY, SAN ANTONIO, TX 78258-3225
(210) 575-5200
(210) 575-5222
Mailing address
19010 STONE OAK PKWY, SAN ANTONIO, TX 78258-3225
(210) 575-5200
(210) 575-5222
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007843
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49053102
PALMETTO GBA
TX
01
—
HH1569
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/07/2006
Last updated
08/22/2020
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