Active NPI 1972711463 Individual Practitioner Male Practitioner

Dr. Casey D Taber , MD

Orthopaedic Surgery • San Antonio, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Casey Taber, MD is a certified Orthopaedic Surgery practicing in San Antonio, TX. With approximately 24 years of clinical experience since graduating from University Of Texas Medical School At San Antonio in 2002, Dr. Taber delivers high-quality medical care to the local community at 150 E SONTERRA BLVD STE 300.

Dr. Taber is affiliated with The San Antonio Orthopaedic Group Llp and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid large joint using ultrasound guidance. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

150 E Sonterra Blvd Ste 300

San Antonio, TX 782584184

Telephone 2108045460

Fax 2108045461

Associated Practice Facility / Clinic

🏢 The San Antonio Orthopaedic Group, Llp Facility NPI 1720022494

Medicare Profile & Education

Medical School

University Of Texas Medical School At San Antonio

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in San Antonio, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +0.3 yrs vs City Avg

City Avg: 23.7 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

166 Specialists

Practicing in San Antonio, TX (1627 Statewide)

Telehealth Adoption Rate

9.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

78.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Taber (24 Years) 24 Yrs

San Antonio Specialty Average (23.7 Years) 23.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,910	254	$25.00	$0.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	367	282	$262.00	$120.50
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	342	259	$536.26	$103.14
73564 X-ray of knee, 4 or more views	295	226	$114.00	$43.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	246	217	$352.00	$169.54
73562 X-ray of knee, 3 views	204	148	$103.00	$37.59
27447 Replacement of knee joint, both sides of knee	129	116	$6694.00	$1187.20
99213 Established patient office or other outpatient visit, typically 15 minutes	124	113	$178.00	$84.66
73503 X-ray of hip with pelvis, minimum of 4 views	102	98	$148.00	$55.69
73502 X-ray of hip, 2-3 views	97	73	$119.00	$43.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$400.00	$154.17
73721 Mri scan of leg joint without contrast	61	54	$679.00	$139.62
73030 X-ray of shoulder, minimum of 2 views	61	55	$84.00	$32.79
27130 Replacement of thigh bone and hip joint with prosthesis	43	41	$6697.00	$1198.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$503.00	$206.51
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	31	19	$1500.00	$669.86
73522 X-ray of both hips, 3-4 views	30	28	$140.00	$50.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$262.00	$106.64
73221 Mri scan of arm joint without contrast	17	17	$680.00	$141.06
27062 Removal of fluid-filled sac (bursa) or calcium deposit of pelvis	13	13	$2228.00	$206.96
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$177.00	$86.28
27025 Incision of tissues of hip or thigh	13	13	$4483.00	$779.45
72148 MRI scan of lower spinal canal	12	12	$643.00	$123.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,127	234	$25.00	$1.07
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	351	239	$541.44	$106.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	245	$262.00	$122.02
73564 X-ray of knee, 4 or more views	247	187	$114.00	$45.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	204	182	$352.00	$170.99
99213 Established patient office or other outpatient visit, typically 15 minutes	187	165	$178.00	$84.85
73562 X-ray of knee, 3 views	157	111	$103.00	$39.04
73502 X-ray of hip, 2-3 views	133	96	$119.00	$45.13
73503 X-ray of hip with pelvis, minimum of 4 views	101	99	$148.00	$56.90
27447 Replacement of knee joint, both sides of knee	78	72	$6694.00	$1221.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$400.00	$161.36
73030 X-ray of shoulder, minimum of 2 views	65	53	$84.00	$33.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	58	58	$503.00	$211.94
73721 Mri scan of leg joint without contrast	49	43	$679.00	$140.63
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	48	29	$1500.00	$706.40
27130 Replacement of thigh bone and hip joint with prosthesis	43	42	$6697.00	$1209.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$262.00	$105.47
73522 X-ray of both hips, 3-4 views	24	23	$140.00	$52.00
73221 Mri scan of arm joint without contrast	21	18	$680.00	$140.70
27062 Removal of fluid-filled sac (bursa) or calcium deposit of pelvis	12	11	$2228.00	$228.94
27025 Incision of tissues of hip or thigh	12	11	$4483.00	$869.51
20610 Aspiration and/or injection of fluid from large joint	11	11	$161.45	$65.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,307	251	$25.00	$1.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	335	259	$262.00	$123.50
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	281	206	$564.39	$109.52
73564 X-ray of knee, 4 or more views	238	181	$114.00	$45.53
99213 Established patient office or other outpatient visit, typically 15 minutes	190	172	$178.00	$86.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	176	157	$352.00	$172.47
73562 X-ray of knee, 3 views	147	98	$103.00	$40.03
73502 X-ray of hip, 2-3 views	145	111	$119.00	$46.11
20610 Aspiration and/or injection of fluid from large joint	117	88	$187.21	$69.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$400.00	$161.09
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	99	64	$1500.00	$768.29
73503 X-ray of hip with pelvis, minimum of 4 views	89	87	$148.00	$56.53
73030 X-ray of shoulder, minimum of 2 views	79	63	$84.00	$34.07
27447 Replacement of knee joint, both sides of knee	69	66	$6694.00	$1235.90
27130 Replacement of thigh bone and hip joint with prosthesis	57	54	$6697.00	$1198.67
20985 Computer-assisted surgery for muscle and bone procedure	54	51	$732.00	$138.95
73721 Mri scan of leg joint without contrast	40	35	$679.00	$168.22
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$503.00	$211.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$262.00	$108.64
73522 X-ray of both hips, 3-4 views	19	19	$140.00	$52.93
73221 Mri scan of arm joint without contrast	14	13	$680.00	$181.83
27062 Removal of fluid-filled sac (bursa) or calcium deposit of pelvis	11	11	$2228.00	$203.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	4,307	275	$25.00	$1.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	431	305	$262.00	$126.35
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	286	177	$540.58	$105.80
99213 Established patient office or other outpatient visit, typically 15 minutes	265	209	$178.00	$88.01
73564 X-ray of knee, 4 or more views	252	198	$114.00	$44.88
20610 Aspiration and/or injection of fluid from large joint	221	148	$182.15	$68.31
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	197	60	$96.00	$24.54
73502 X-ray of hip, 2-3 views	168	125	$119.00	$45.27
73562 X-ray of knee, 3 views	146	96	$103.00	$39.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$400.00	$163.88
97140 Therapy procedure using manual technique, each 15 minutes	123	53	$89.00	$20.87
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	118	73	$1500.00	$758.67
73030 X-ray of shoulder, minimum of 2 views	93	78	$84.00	$33.45
73503 X-ray of hip with pelvis, minimum of 4 views	85	82	$148.00	$57.33
27447 Replacement of knee joint, both sides of knee	58	52	$6694.00	$1227.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$262.00	$107.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	50	$352.00	$173.98
27130 Replacement of thigh bone and hip joint with prosthesis	43	43	$6697.00	$1225.61
73721 Mri scan of leg joint without contrast	35	34	$679.00	$213.90
73522 X-ray of both hips, 3-4 views	24	24	$140.00	$52.34
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	21	11	$100.00	$33.51
20985 Computer-assisted surgery for muscle and bone procedure	16	16	$732.00	$140.13
27062 Removal of fluid-filled sac (bursa) or calcium deposit of pelvis	13	11	$2228.00	$198.82
72148 MRI scan of lower spinal canal	13	13	$643.00	$203.09
73221 Mri scan of arm joint without contrast	12	11	$665.00	$213.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,553	227	$25.00	$1.45
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	325	95	$96.00	$26.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	321	249	$262.00	$105.98
99213 Established patient office or other outpatient visit, typically 15 minutes	299	220	$178.00	$72.97
20610 Aspiration and/or injection of fluid from large joint	209	144	$184.82	$66.99
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	202	136	$592.13	$107.70
73564 X-ray of knee, 4 or more views	162	127	$114.00	$41.71
97140 Therapy procedure using manual technique, each 15 minutes	127	65	$89.00	$22.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$262.00	$104.98
73502 X-ray of hip, 2-3 views	122	94	$119.00	$43.55
73562 X-ray of knee, 3 views	109	73	$103.00	$37.28
73503 X-ray of hip with pelvis, minimum of 4 views	99	97	$148.00	$53.92
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	95	54	$1500.00	$744.16
73030 X-ray of shoulder, minimum of 2 views	76	64	$84.00	$32.10
27130 Replacement of thigh bone and hip joint with prosthesis	52	48	$6697.00	$1351.28
27447 Replacement of knee joint, both sides of knee	45	43	$6694.00	$1323.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	43	$106.00	$39.03
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	33	15	$100.00	$32.00
73721 Mri scan of leg joint without contrast	28	27	$679.00	$206.43
97016 Application of blood vessel compression device	22	17	$57.00	$9.51
20985 Computer-assisted surgery for muscle and bone procedure	19	19	$732.00	$146.53
97164 Re-evaluation for physical therapy, typically 20 minutes	12	12	$160.00	$58.36
72148 MRI scan of lower spinal canal	12	12	$643.00	$206.17
97161 Evaluation of physical therapy, typically 20 minutes	11	11	$236.00	$85.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,866	251	$25.00	$1.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	364	259	$262.00	$105.27
99213 Established patient office or other outpatient visit, typically 15 minutes	342	268	$178.00	$71.71
20610 Aspiration and/or injection of fluid from large joint	280	202	$183.94	$65.12
73564 X-ray of knee, 4 or more views	189	148	$114.00	$39.27
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	181	119	$560.48	$101.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	155	155	$262.00	$104.01
73502 X-ray of hip, 2-3 views	143	105	$119.00	$40.96
73562 X-ray of knee, 3 views	142	89	$103.00	$34.86
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	98	63	$1768.71	$1209.09
73503 X-ray of hip with pelvis, minimum of 4 views	68	65	$148.00	$51.37
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	63	28	$96.00	$26.06
73030 X-ray of shoulder, minimum of 2 views	61	51	$84.00	$28.96
27447 Replacement of knee joint, both sides of knee	58	56	$6694.00	$1279.65
27130 Replacement of thigh bone and hip joint with prosthesis	40	38	$6697.00	$1343.73
73721 Mri scan of leg joint without contrast	33	29	$679.00	$218.25
97140 Therapy procedure using manual technique, each 15 minutes	21	17	$89.00	$21.65
73522 X-ray of both hips, 3-4 views	21	21	$140.00	$48.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	565	168	$25.00	$6.58
20610 Aspiration and/or injection of fluid from large joint	400	225	$178.71	$63.98
99213 Established patient office or other outpatient visit, typically 15 minutes	315	238	$178.00	$70.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	309	241	$262.00	$103.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	300	106	$25.00	$1.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	171	171	$262.00	$102.94
73564 X-ray of knee, 4 or more views	167	133	$114.00	$37.50
73562 X-ray of knee, 3 views	152	91	$103.00	$33.90
73502 X-ray of hip, 2-3 views	146	109	$119.00	$39.29
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	87	17	$478.00	$140.86
73030 X-ray of shoulder, minimum of 2 views	82	68	$84.00	$27.63
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	69	45	$2754.00	$795.18
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	66	13	$96.00	$26.59
73503 X-ray of hip with pelvis, minimum of 4 views	60	59	$148.00	$48.36
27447 Replacement of knee joint, both sides of knee	50	47	$6694.00	$1298.94
73721 Mri scan of leg joint without contrast	40	38	$667.77	$218.65
97140 Therapy procedure using manual technique, each 15 minutes	38	11	$89.00	$21.80
27130 Replacement of thigh bone and hip joint with prosthesis	34	33	$6697.00	$1287.55
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	30	24	$605.43	$96.99
73221 Mri scan of arm joint without contrast	14	12	$680.00	$220.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$400.00	$158.74
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	13	12	$876.00	$172.80
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$3275.00	$202.34
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$5205.00	$1030.86
73522 X-ray of both hips, 3-4 views	11	11	$140.00	$46.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	805	222	$24.95	$5.81
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	610	13	$44.21	$12.62
20610 Aspiration and/or injection of fluid from large joint	469	229	$173.03	$63.09
99213 Established patient office or other outpatient visit, typically 15 minutes	305	220	$177.14	$69.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	211	$261.04	$101.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	180	180	$261.65	$102.78
73564 X-ray of knee, 4 or more views	156	127	$113.46	$37.24
73562 X-ray of knee, 3 views	133	87	$102.18	$33.54
73502 X-ray of hip, 2-3 views	121	82	$118.44	$38.41
73030 X-ray of shoulder, minimum of 2 views	92	80	$83.14	$27.29
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	78	20	$508.47	$145.09
73721 Mri scan of leg joint without contrast	64	57	$678.18	$215.63
27447 Replacement of knee joint, both sides of knee	46	46	$6839.37	$1331.70
73503 X-ray of hip with pelvis, minimum of 4 views	39	39	$147.72	$47.59
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	32	21	$2925.38	$851.06
27130 Replacement of thigh bone and hip joint with prosthesis	26	26	$6696.95	$1279.94
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	16	12	$1762.74	$543.40
73221 Mri scan of arm joint without contrast	15	13	$679.17	$196.87
73522 X-ray of both hips, 3-4 views	14	14	$139.87	$45.87
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$5204.80	$938.94
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$875.70	$172.34
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$3274.70	$227.55
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$100.44	$32.94
73501 X-ray of hip with pelvis, 1 view	11	11	$85.14	$27.93

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TX M2141

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

145160102 (TX)

Commercial Insurance / Payer ID Npi

1972711463

Commercial Insurance / Payer ID Group Ptan

00594R

Hospital & Practice Group Affiliations

The San Antonio Orthopaedic Group Llp

11212 State Hwy 151, San Antonio, TX 782514505

Phone: 2108045400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Crystal Horton , PA

Physician Assistant

NPI 1215165881

Physician Assistant

Dr. Scott Seidel , DC

Chiropractor

NPI 1316097819

Doctor of Chiropractic

Dr. Bjorn Balldin , MD

Orthopaedic Surgery - Sports Medicine

NPI 1366654667

Doctor of Medicine (M.D.)

Dr. Justin Robbins , MD

Orthopaedic Surgery

NPI 1578547915

Doctor of Medicine (M.D.)

Dr. Kimberly Wolf-King , DPT

Physical Therapist

NPI 1598281958

Doctor of Physical Therapy

Dr. Ronald Connor , MD

Orthopaedic Surgery

NPI 1811939820

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

✅

NPI Profile Active July 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 13, 2017

Registered at 150 E SONTERRA BLVD STE 300, SAN ANTONIO, TX 782584184 (Tel: 2108045460)

📍

Updated Business Mailing Address July 13, 2017

Registered at 400 CONCORD PLAZA DR, SUITE 300, SAN ANTONIO, TX 782166905 (Tel: (210) 804-5460)

👤

Provider Name / Credentials Updated July 13, 2017

Recorded as CASEY TABER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2017

Orthopaedic Surgery (License #M2141 in TX)

📍

Updated Practice Location June 15, 2017

Registered at 150 E SONTERRA BLVD STE 300, SAN ANTONIO, TX 782584184 (Tel: 2108045460)

✅

NPI Profile Active November 25, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 25, 2014

Registered at 1200 BROOKLYN AVE, SUITE 320, SAN ANTONIO, TX 782124803 (Tel: 2108045460)

📍

Updated Business Mailing Address November 25, 2014

Registered at 400 CONCORD PLAZA DR, SUITE 300, SAN ANTONIO, TX 782166905 (Tel: 2108045460)

👤

Provider Name / Credentials Updated November 25, 2014

Recorded as CASEY TABER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2014

Orthopaedic Surgery (License #M2141 in TX)

🟢

Initial NPI Registration & Enumeration May 18, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972711463

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 18, 2007

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 Concord Plaza Dr, Suite 300

San Antonio, TX 782166905

Phone: 2108045460

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.