Provider Demographics
NPI:1306201124
Name:CHRISTUS SANTA ROSA OUTPATIENT SURGERY - NEW BRAUNFELS, LP
Entity Type:Organization
Organization Name:CHRISTUS SANTA ROSA OUTPATIENT SURGERY - NEW BRAUNFELS, LP
Other - Org Name:CHRISTUS PHYSICIANS SURGERY CENTER - SAN MARCOS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:K
Authorized Official - Last Name:RUFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-282-2637
Mailing Address - Street 1:1305 WONDER WORLD DR STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7502
Mailing Address - Country:US
Mailing Address - Phone:512-353-8161
Mailing Address - Fax:512-353-8255
Practice Address - Street 1:1305 WONDER WORLD DR STE 105
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7502
Practice Address - Country:US
Practice Address - Phone:512-353-8161
Practice Address - Fax:512-353-8255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-21
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy