Provider Demographics
NPI:1225439250
Name:ADVANCED SURGERY CENTER OF SAN ANTONIO, LLC
Entity Type:Organization
Organization Name:ADVANCED SURGERY CENTER OF SAN ANTONIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGARITY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-455-4150
Mailing Address - Street 1:18414 US HIGHWAY 281 N
Mailing Address - Street 2:114
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-7610
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18414 US HIGHWAY 281 N
Practice Address - Street 2:114
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-7610
Practice Address - Country:US
Practice Address - Phone:830-556-6134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical