| NPI | 1083659866 |
|---|---|
| Former Legal Business Name | FOUNDATION SURGERY AFFILIATE OF SAN ANTONIO LP |
| Entity Type | Organization |
| Authorized Contact | RONALD BULLOCK Dir. Of Clinical & Ambulatory Serv 210-253-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007839) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2021-06-24 |