Stone Oak Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

STONE OAK SURGERY CENTER, LLC

Practice address

123 N Loop 1604 E
Suite 107
San Antonio, TX 78232-1388

Phone

(210) 267-1374

Fax

(210) 267-1459

NPI assigned

Jul 15, 2011

Last updated

Nov 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Alec Tisdale, MD

Title

Chief of Staff

Phone

(210) 267-1374

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Alec Tisdall, M.D.

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1124153754
  NPD

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1407144132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N LOOP 1604 E",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321388",
            "telephone_number": "210-267-1374",
            "fax_number": "210-267-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N LOOP 1604 E",
            "address_2": "SUITE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321388",
            "telephone_number": "210-267-1374",
            "fax_number": "210-267-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE OAK SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALEC",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "210-267-1374",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stone Oak Pharmacy, LP
• Stone Oak Rheumatology PA
• Stone Oak South Texas Center for Pediatric Care
• Stone Oak South Texas Center for Pediatric Care
• Stone Oak Spine P.a.
• Stone Oak Surgicenter, LLC (Stone Oak Surgery Center)
• Stone Oak Therapy Services & Learning Institute
• Stone Oak Urgent Care & Family P.a. (Stone Oak Urgent Care & Family Practice)
• Stone Oak Urgent Care & Family P.a. (Stone Oak Urgent Care & Family Practice)
• Stone Oak Womens Center

• Ambulatory Surgical Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.