Provider Demographics
NPI:1336366442
Name:CASTLE HILLS OUTPATIENT CENTER, INC.
Entity Type:Organization
Organization Name:CASTLE HILLS OUTPATIENT CENTER, INC.
Other - Org Name:SURGICAL ARTS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHENAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-308-5681
Mailing Address - Street 1:6501 BLANCO ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6627
Mailing Address - Country:US
Mailing Address - Phone:210-308-5681
Mailing Address - Fax:210-308-1077
Practice Address - Street 1:6501 BLANCO RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6627
Practice Address - Country:US
Practice Address - Phone:210-308-5681
Practice Address - Fax:210-308-1077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX08798010Medicaid