Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Baptist Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1407853740

Northeast Baptist Surgery Center LLC is an Ambulatory Surgical Clinic/Center in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8715 Village Dr Ste 200
San Antonio, TX 78217
Phone: (210) 477-1775
Fax: (210) 477-1794
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 000369 (TX)

Record details

NPI number1407853740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Misty Walton — Administrator · (210) 477-1788
Other names Village Specialty Surgical Center
NPI enumeratedJuly 1, 2005
Last updated in NPPESNovember 5, 2009
Mailing address8715 Village Dr, Suite 200, San Antonio, TX 78217

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