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

San Antonio Spine Surgery Center PLLC

Organization Orthopaedic Surgery of the Spine Physician · NPI 1205082104

San Antonio Spine Surgery Center PLLC is an Orthopaedic Surgery of the Spine Physician in Live Oak, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12501 Judson Rd Ste 201
Live Oak, TX 78233-4103
Phone: (210) 615-8292
Fax: (210) 615-8297
Show map & directions

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

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X · Licence M9701 (TX)

Record details

NPI number1205082104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yvonne Lopez — Credentialing Coordinator · (210) 615-8292
NPI enumeratedAugust 11, 2008
Last updated in NPPESOctober 13, 2008
Mailing address8255 Fredericksburg Rd, San Antonio, TX 78229-3357

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