Provider Demographics
NPI:1518198688
Name:SAN ANTONIO SURGICAL ASSISTANTS, INC.
Entity Type:Organization
Organization Name:SAN ANTONIO SURGICAL ASSISTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TUCHSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LSA
Authorized Official - Phone:210-352-5346
Mailing Address - Street 1:540 MADISON OAK DR
Mailing Address - Street 2:STE 610
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3924
Mailing Address - Country:US
Mailing Address - Phone:210-352-5346
Mailing Address - Fax:210-352-5367
Practice Address - Street 1:540 MADISON OAK DR
Practice Address - Street 2:STE 610
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3924
Practice Address - Country:US
Practice Address - Phone:210-352-5346
Practice Address - Fax:210-352-5367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246ZC0007X, 363L00000X, 363L00000X, 246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX350539801Medicaid
TX0061SXOtherBCBS
TXNP-618281400OtherDOL
TXRN-618281200OtherDOL
TXSA-618281000OtherDOL
TX350539801Medicaid
TXRN-618281200OtherDOL
TXDV3143Medicare PIN