Organization
THE SAN ANTONIO ORTHOPAEDIC GROUP, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE KEAN (ADMINISTRATOR)
(210) 804-5400
Entity
Organization
Contact information
Practice address
11212 STATE HWY 151, SUITE 150, SAN ANTONIO, TX 78251-4505
(210) 804-5400
Mailing address
11212 STATE HWY 151, SUITE 150, SAN ANTONIO, TX 78251
(210) 804-5400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005GW
BCBS OF TX
—
05
—
145160102
—
TX
Enumeration date
07/30/2008
Last updated
08/11/2023
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