Organization
SAN ANTONIO ORTHOPAEDIC GROUP, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE M. KEAN (CHIEF OPERATING OFFICER)
(210) 804-5400
Entity
Organization
Contact information
Practice address
5000 BAPTIST HEALTH DR, SUITE 116, SCHERTZ, TX 78154-1193
(210) 804-5400
(210) 678-4138
Mailing address
400 CONCORD PLAZA DR, SUITE 300, SAN ANTONIO, TX 78216-6905
(210) 804-5400
(210) 678-4138
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005GW
BCBS TX
TX
05
—
145160102
—
TX
Enumeration date
11/05/2009
Last updated
08/11/2023
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