Orthopaedic Surgery And Sports Medicine Of San Antonio | |
250 W Sunset Rd San Antonio TX 78209-2651 | |
(210) 293-2663 | |
Not Available |
Full Name | Orthopaedic Surgery And Sports Medicine Of San Antonio |
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Speciality | Orthopaedic Surgery |
Location | 250 W Sunset Rd, San Antonio, Texas |
Authorized Official Name and Position | Andrew L Whaley (PHYSICIAN) |
Authorized Official Contact | 2102932663 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Orthopaedic Surgery And Sports Medicine Of San Antonio 250 W Sunset Rd San Antonio TX 78209-2651 Ph: (210) 293-2663 | Orthopaedic Surgery And Sports Medicine Of San Antonio 250 W Sunset Rd San Antonio TX 78209-2651 Ph: (210) 293-2663 |
NPI Number | 1932383015 |
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Provider Enumeration Date | 12/24/2007 |
Last Update Date | 08/17/2023 |
Medicare PECOS PAC ID | 7618026931 |
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Medicare Enrollment ID | O20100712000321 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932383015 | NPI | - | NPPES |
157921104 | Other | TX | MEDICAID-INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
Provider Name | Andrew L Whaley |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1023127701 PECOS PAC ID: 7618950726 Enrollment ID: I20040610000335 |
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