NPI age
12 years
Enumerated 2013-11-13
● Active Type 2 · Organization
Subpart
San Antonio Childrens Surgical
San Antonio Childrens Surgical is 1 of 1647 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Larsen
Ceo
Last NPPES update
2025-04-22
Source: monthly bulk 2026-05
How this organization compares
Across 1647 active clinic/center providers in Texas.
NPI age
12 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-11Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
8706 Fredericksburg Rd Ste 104
San Antonio, TX 782401293
Mailing address
8706 Fredericksburg Rd, Suite 104
San Antonio, TX 782401200
Authorized official
Devin Larsen
Ceo
📞 7134892198
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
Subpart of North End Healthcare.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.