Provider Demographics
NPI:1790124386
Name:ZACHARY S STINSON MD PA
Entity Type:Organization
Organization Name:ZACHARY S STINSON MD PA
Other - Org Name:SAN ANTONIO MISSION ORTHOPEDICS PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:S
Authorized Official - Last Name:STINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-587-8120
Mailing Address - Street 1:PO BOX 4346
Mailing Address - Street 2:DEPT 57
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4346
Mailing Address - Country:US
Mailing Address - Phone:210-733-0578
Mailing Address - Fax:210-587-8549
Practice Address - Street 1:414 NAVARRO ST
Practice Address - Street 2:1401
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-2516
Practice Address - Country:US
Practice Address - Phone:210-587-8120
Practice Address - Fax:210-587-8139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-18
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0050YVOtherBCBSTX
TX0050YVOtherBCBSTX