Third Coast Surgical Services, LLP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THIRD COAST SURGICAL SERVICES, LLP

Practice address

5150 Broadway St
Box 189
San Antonio, TX 78209-5710

Phone

(520) 547-4130

Fax

(520) 258-0304

NPI assigned

Jan 31, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Ann Evanoski

Title

Billing Manager

Phone

(520) 547-4130

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1265610372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 E SPEEDWAY BLVD",
            "address_2": "SUITE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101147",
            "telephone_number": "520-323-8732",
            "fax_number": "520-547-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 BROADWAY ST",
            "address_2": "BOX 189",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095710",
            "telephone_number": "520-547-4130",
            "fax_number": "520-258-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD COAST SURGICAL SERVICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "EVANOSKI",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "520-547-4130"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in San Antonio, TX
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.