Active NPI
San Antonio Childrens Surgical
- Ambulatory Surgical Clinic/Center
- San Antonio, TX
National Provider Identifier
1144650060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SAN ANTONIO CHILDRENS SURGICAL
- Practice address
- 8706 Fredericksburg Rd Ste 104
San Antonio, TX 78240-1293 - Phone
- (210) 598-7918
- NPI assigned
- Nov 13, 2013
- Organization subpart
- Yes
- Parent organization
- NORTH END HEALTHCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devin Larsen
- Title
- Ceo
- Phone
- (713) 489-2198
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
8706 Fredericksburg Rd Ste 104
San Antonio, TX 78240-1293
Mailing address
8706 Fredericksburg Rd
Suite 104
San Antonio, TX 78240-1200
Phone (713) 481-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2084755 | San Antonio Childrens Surgical | Certificate of waiver | Sep 29, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1578723243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745280000000",
"number": "1144650060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8706 FREDERICKSBURG RD",
"address_2": "SUITE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401200",
"telephone_number": "713-481-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8706 FREDERICKSBURG RD STE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401293",
"telephone_number": "210-598-7918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN ANTONIO CHILDRENS SURGICAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH END HEALTHCARE",
"enumeration_date": "2013-11-13",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A",
"authorized_official_last_name": "LARSEN",
"authorized_official_first_name": "DEVIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "713-489-2198"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- San Antonio Cardiac Associates, PA
- San Antonio Cardiology Clinic PA
- San Antonio Career Center
- San Antonio Center for Hope and Healing
- San Antonio Center for Physical Therapy, P.C.
- San Antonio Clinical Genetics PA
- San Antonio Comprehensive Care OB/GYN
- San Antonio Cosmetic Surgery, PA
- San Antonio Council on Alcohol and Drug Awareness
- San Antonio Counseling & Behavioral Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.