Active NPI
Foundation Surgery Affiliates of Seguin, LLC
- Ambulatory Surgical Clinic/Center
- Seguin, TX
National Provider Identifier
1306830500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 008149
- Legal business name
- FOUNDATION SURGERY AFFILIATES OF SEGUIN, LLC
- Doing business as
- South Texas Surgical Center
- Practice address
- 214 Medical Dr
Seguin, TX 78155 - Phone
- (830) 401-2800
- Fax
- (830) 401-4346
- NPI assigned
- Sep 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Teri K Wolff, RN
- Title
- Administrator
- Phone
- (830) 401-2800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 008149 | TX | Primary |
Addresses
Primary practice location
214 Medical Dr
Seguin, TX 78155
Mailing address
214 Medical Dr
Seguin, TX 78155
Phone (830) 401-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171181401 | Medicaid | TX |
Other names 1
- South Texas Surgical Center
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
- Seguin, TX
- NPI 1326063124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248912000000",
"number": "1306830500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 MEDICAL DR",
"city": "SEGUIN",
"state": "TX",
"postal_code": "78155",
"telephone_number": "830-401-2800",
"fax_number": "730-401-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 MEDICAL DR",
"city": "SEGUIN",
"state": "TX",
"postal_code": "78155",
"telephone_number": "830-401-2800",
"fax_number": "830-401-4346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNDATION SURGERY AFFILIATES OF SEGUIN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-02",
"last_updated": "2009-07-30",
"status": "A",
"authorized_official_last_name": "WOLFF",
"authorized_official_first_name": "TERI",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "830-401-2800",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "008149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171181401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Texas Surgical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seguin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.