Southcross Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008629 Issued in TX

Legal business name

SOUTHCROSS SURGICAL CENTER, LLC

Practice address

4025 E. Southcross
BLDG 3 Ste. 15
San Antonio, TX 78222

Phone

(210) 530-4075

Fax

(210) 530-4081

NPI assigned

Jun 4, 2008

Organization subpart

No

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

Authorized official

Name

Elisabeth Patiala

Title

Business Manager

Phone

(210) 255-8084

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1508025693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2118",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292118",
            "telephone_number": "210-530-4075",
            "fax_number": "210-530-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 E. SOUTHCROSS",
            "address_2": "BLDG 3 STE. 15",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78222",
            "telephone_number": "210-530-4075",
            "fax_number": "210-530-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCROSS SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "PATIALA",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "210-255-8084"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF STATE HEALTH SERVICES FACILITY LICENSING GROUP",
            "identifier": "008629",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Texas Womens Center for Incontinence & Laser Surgery PA
• South Texas Wound Associates, PA
• Krystal Ashley South
• Southcross Emergency Physicians Group
• Southcross Hospital LLC
• Southeast Endodontic Group PC
• Southeast Nursing & Rehabilitation Center, L.P.
• Southeast OB-GYN Associates
• Southeast South Texas Center for Pediatric Care
• Southeast South Texas Center for Pediatric Care

• 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 May 12, 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.

Verify at the official NPI Registry.