Provider Demographics
NPI:1013646058
Name:MADH HOLDINGS LLC
Entity Type:Organization
Organization Name:MADH HOLDINGS LLC
Other - Org Name:TEXAS SPINE AND JOINT SURGICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:DELEON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-487-9306
Mailing Address - Street 1:2140 BABCOCK RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4439
Mailing Address - Country:US
Mailing Address - Phone:726-203-4886
Mailing Address - Fax:
Practice Address - Street 1:2140 BABCOCK RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4439
Practice Address - Country:US
Practice Address - Phone:726-203-4886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2023-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical