Active NPI
Surgery Center - Shavano Park
Doing business as Premier Surgical Center at Shavano
- Ambulatory Surgical Clinic/Center
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SURGERY CENTER - SHAVANO PARK
- Doing business as
- Premier Surgical Center at Shavano
- Practice address
- 14603 Huebner Rd BLDG 41
San Antonio, TX 78230-5505 - Phone
- (210) 468-5426
- NPI assigned
- Dec 3, 2025
- Last updated
- Mar 17, 2026
- 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
- Jose E Barrera, MD
- Title
- Chief of Staff
- Phone
- (210) 468-5426
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
14603 Huebner Rd BLDG 41
San Antonio, TX 78230-5505
Mailing address
14603 Huebner Rd BLDG 41
San Antonio, TX 78230-5505
Other names 1
- Premier Surgical Center at Shavano
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 |
|---|---|---|---|
| 45D2339032 | Premier Surgical Center at Shavano Park | Certificate of waiver | Feb 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
14603 Huebner Rd
Bldg 41
San Antonio, TX 78230
Phone (210) 468-5426
Practitioners & affiliated clinicians
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.
-
- Facial Plastic Surgery Physician
- San Antonio, TX
- NPI 1619966686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1417810805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14603 HUEBNER RD BLDG 41",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14603 HUEBNER RD BLDG 41",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305505",
"telephone_number": "210-468-5426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGERY CENTER - SHAVANO PARK",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-03",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "BARRERA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF OF STAFF",
"authorized_official_telephone_number": "210-468-5426",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Surgical Center at Shavano",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
- Chittamuru V Surendranath, M.D.
- Suresh B Neelagaru MD PA (San Antonio Cardiovascular and Rhythm Center Associates)
- Sneha Suresh
- Surgcenter of Westover Hills LLC
- Surgeons Sidekick LLC
- Surgi-Consultants of San Antonio (Surgical Consultants of San Antonio)
- Surgical Consultants of San Antonio
- Surgical First Assist Specialist of South Texas
- Surgical First Assistant Services
- Surgical Practices of South Texas, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.