P Praxis·MD
● Active Type 2 · Organization

Northeast Baptist Surgery Center Llc

Clinic/Center·San Antonio, TX· NPI 1407853740 · Enumerated 2005 · 20 years on NPI
Northeast Baptist Surgery Center Llc is 1 of 1647 clinic/center organizations in Texas.
NPI age
20 years
Enumerated 2005-07-01
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Walton
Administrator
Last NPPES update
2009-11-05
Source: monthly bulk 2026-05

How this organization compares

Across 1647 active clinic/center providers in Texas.

NPI age
20 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-07Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
8715 Village Dr, Suite 200
San Antonio, TX 78217
📞 2104771775fax 2104771794
Mailing address
8715 Village Dr, Suite 200
San Antonio, TX 78217
📞 2104771775fax 2104771794

Authorized official

Misty Diane Walton
Administrator
📞 2104771788

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    TX license #000369 taxonomy 261QA1903X

Identifiers

TypeValueNotes
01 (TX) 490003869 RAILROAD MEDICARE
05 (TX) 087944701

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Village Specialty Surgical Center
    Type code 3 recorded 2009-11-05

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

Provyx · Custom healthcare lists

Need all 1647 Clinic/Center providers in Texas?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related