| Surgery Center Of Boerne | |
|
112 Herff Rd Ste 200 Boerne TX 78006-2748 | |
| (830) 331-7700 | |
| (830) 331-7709 |
| Full Name | Surgery Center Of Boerne |
|---|---|
| Speciality | Clinic/Center |
| Location | 112 Herff Rd Ste 200, Boerne, Texas |
| Authorized Official Name and Position | Peter Blach (OFFICER / AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7133430832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surgery Center Of Boerne 14201 Dallas Pkwy Dallas TX 75254-2916 Ph: (972) 763-3859 | Surgery Center Of Boerne 112 Herff Rd Ste 200 Boerne TX 78006-2748 Ph: (830) 331-7700 |
| NPI Number | 1902302961 |
|---|---|
| Provider Enumeration Date | 03/30/2018 |
| Last Update Date | 10/09/2024 |
| Medicare PECOS PAC ID | 8921356650 |
|---|---|
| Medicare Enrollment ID | O20180813000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902302961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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