Provider Demographics
NPI:1285667451
Name:SOUTH TEXAS HEALTH ALLIANCE
Entity Type:Organization
Organization Name:SOUTH TEXAS HEALTH ALLIANCE
Other - Org Name:LONE STAR NEUROSURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-354-0877
Mailing Address - Street 1:315 N SAN SABA
Mailing Address - Street 2:SUITE 1210
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3154
Mailing Address - Country:US
Mailing Address - Phone:210-354-0877
Mailing Address - Fax:210-354-0880
Practice Address - Street 1:315 N SAN SABA
Practice Address - Street 2:SUITE 1210
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3154
Practice Address - Country:US
Practice Address - Phone:210-354-0877
Practice Address - Fax:210-354-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty