SAN ANTONIO SPINE SURGERY CENTER PLLC
Medical Practice at Judson Rd, San Antonio, TX

License number
Texas M9701
Category
Medical Practice
Type
Orthopaedic Surgery of the Spine
Owner
Name: YVONNE LOPEZ
Title: CREDENTIALING COORDINATOR
Phone: (210) 615-8292
Address
Address
12501 Judson Rd STE 201, San Antonio, TX 78233
National Provider ID: 1205082104
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SAN ANTONIO SPINE SURGERY CENTER PLLC at bizstanding.com

SAN ANTONIO SPINE SURGERY CENTER, PLLC

4142 Fossil Park, San Antonio, TX 78261

Status:
Inactive
Registration:
Jul 28, 2008
State ID:
0801009268
Business type:
Domestic Limited Liability Company (LLC)
Managing Members:
Raymoud Topp Director, President, inactive, 4142 Fosle Park, San Antonio, TX 78261,Raymond F. Topp Managing Member, inactive
Agent:
National Registered Agents, Inc,16055 SPACE CENTER SUITE 235, Houston, TX 77062 (Physical)
TIN:
32037603266

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