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Contact Information

SOUTH TEXAS ORTHOPEDIC SPECIALTY GROUP, PLLC
10010 ROGERS XING STE 308
SAN ANTONIO, TX78251-4776
 Phone: 210-598-5605
 Fax: 210-598-5620
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Family

363LF0000X 50 Nurse Practitioner
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SOUTH TEXAS ORTHOPEDIC SPECIALTY GROUP, PLLC

NPI # 1114290624
LBN Legal business name SOUTH TEXAS ORTHOPEDIC SPECIALTY GROUP, PLLC
Authorized official DMITRY TUDER - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2012
Last updated 01/05/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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