Organization
METHODIST MEDICAL CENTER ASC LP
Active
Other names
Methodist Ambulatory Surgery Center Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY A CARR (CHIEF FINANCIAL OFFICER)
(210) 575-0238
Entity
Organization
Contact information
Practice address
4411 MEDICAL DR, SAN ANTONIO, TX 78229-3822
(210) 575-4584
(210) 575-4521
Mailing address
4411 MEDICAL DR, SAN ANTONIO, TX 78229-3822
(210) 575-4584
(210) 575-4521
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007852
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH031A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/07/2006
Last updated
08/22/2020
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