SOUTH TEXAS SPINAL CLINIC, P.A. – Orthopaedic Surgery Physician, NPI 1679506653
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUTH TEXAS SPINAL CLINIC, P.A.
1202 E Sonterra Blvd Ste 303
San Antonio, TX 782584090
Phone: (210) 614-6432
Fax: (210) 615-3586
Type: Location
1038 Garner Field Rd
Uvalde, TX 788014810
Phone: (210) 614-6432
Fax: (210) 293-2989
Type: Location
10823 Town Center Dr
San Antonio, TX 782514585
Phone: (210) 614-6432
Fax: (210) 293-2772
Type: Location
251 Cully Dr Ste A
Kerrville, TX 780286084
Phone: (210) 614-6432
Fax: (210) 293-2772
Type: Location
134 Menger Spgs # 1210
Boerne, TX 780067218
Phone: (210) 614-6432
Fax: (210) 293-3908
Type: Location
1200 Brooklyn Ave Ste 170
San Antonio, TX 782124810
Phone: (210) 614-6432
Fax: (210) 293-2988
Type: Location
18626 HARDY OAK BLVD STE 300
SAN ANTONIO, TX 782584228
Phone: (210) 614-6432
Fax: (210) 293-3126
Type: Mailing
6704 Guada Coma Dr
Schertz, TX 781543247
Phone: (210) 614-6432
Fax: (210) 293-4171
Type: Location
12602 Toepperwein Rd Ste 212
Live Oak, TX 782333271
Phone: (210) 614-6432
Fax: (210) 293-3908
Type: Location
204 W Windcrest Dr
Fredericksburg, TX 786244408
Phone: (210) 614-6432
Fax: (210) 615-3577
Type: Location
18626 Hardy Oak Blvd Ste 200
San Antonio, TX 782584219
Phone: (210) 614-6432
Fax: (210) 293-1183
Type: Location
9150 Huebner Rd Ste 290
San Antonio, TX 782401598
Phone: (210) 614-6432
Fax: (210) 293-3902
Type: Location
2003 Medical Pkwy Ste A
San Marcos, TX 786667554
Phone: (210) 614-6432
Fax: (210) 293-2945
Type: Location
7109 N Bartlett Ave Ste 109
Laredo, TX 780416473
Phone: (210) 614-6432
Fax: (210) 293-1515
Type: Location
861 Landa St
New Braunfels, TX 781306115
Phone: (210) 614-6432
Fax: (210) 293-3908
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (797 days ago).
Enrollment records
2
Earliest due date
2024-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040922000199 | O | Clinic/Group Practice | TX | TBD |
| O20100930023163 | O | Physician - Orthopedic/Orthopedic Surgery | TX | 2024-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78258)
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