Organization
SONTERRA ENDOSCOPY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD GREEN MD (PRESIDENT)
(210) 403-3528
Entity
Organization
Contact information
Practice address
225 E SONTERRA BLVD, SUITE 101, SAN ANTONIO, TX 78258-3992
(210) 481-7477
(210) 481-7622
Mailing address
225 E SONTERRA BLVD, SUITE 101, SAN ANTONIO, TX 78258-3992
(210) 403-3528
(210) 481-7622
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
008069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168254401
—
TX
Enumeration date
07/01/2006
Last updated
01/28/2010
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