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STONE OAK SURGERY CENTER, LLC
NPI 1407144132
Clinic/Center - Ambulatory Surgical in San Antonio, TX

Active since July 15, 2011CLIA 45D2028238 · Waiver
123 N LOOP 1604 E, SUITE 107, SAN ANTONIO, TX 78232(210) 267-1374(210) 267-1459 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stone Oak Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STONE OAK SURGERY CENTER, LLC (NPI 1407144132) is a healthcare organization registered as an ambulatory surgical in San Antonio, Texas and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists William Alec Tisdale, Chief Of Staff, as its authorized official.

NPPES Registry Identity

NPI1407144132
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSTONE OAK SURGERY CENTER, LLC
Location Address123 N LOOP 1604 E, SUITE 107San Antonio, TX 78232-1388
Mailing Address123 N Loop 1604 E, Suite 107San Antonio, TX 78232-1388 · (210) 267-1374 · Fax (210) 267-1459
Phone(210) 267-1374
Fax(210) 267-1459
Organization SubpartNo
Authorized OfficialWilliam Alec TisdaleChief Of Staff · (210) 267-1374
Enumeration DateJuly 15, 2011
Last NPPES UpdateNovember 21, 2011
✔ NPI 1407144132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
123 N LOOP 1604 E, San Antonio, TX 78232
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2028238

Stone Oak Surgery Center, LLC · San Antonio, TX
Active · expires Aug 10, 2027
CLIA Number45D2028238
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorMark A. Moran
Laboratory Phone(210) 267-1374
Laboratory LocationStone Oak Surgery Center, LLC123 North Loop 1604 East Suite 107, San Antonio, TX 78232
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stone Oak Surgery Center, LLC's NPI number?

The NPI number for Stone Oak Surgery Center, LLC is 1407144132. It was assigned to this organization in the NPPES registry on July 15, 2011.

Where is Stone Oak Surgery Center, LLC located?

Stone Oak Surgery Center, LLC is located at 123 N Loop 1604 E Suite 107, San Antonio, TX 78232. The listed phone number is (210) 267-1374.

What is Stone Oak Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Stone Oak Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2028238) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stone Oak Surgery Center, LLC was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.