Premier Orthopaedic Surgery And Sports Health PLLC
Orthopaedic Surgery in San Antonio, TX. Organization (NPI-2).
Details
- NPI
- 1750880977
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Orthopaedic Surgery And Sports Health PLLC
- Organization subpart
- No
- Enumeration date
- Feb 2, 2018
- Certification date
- Feb 22, 2026
- Last updated
- Feb 22, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
Practice location
24165 Ih 10 W Ste 123San Antonio, TX 78257-1160
Phone 210-390-0008 · Fax 833-972-1632
Mailing address
24165 Ih 10 W Ste 123San Antonio, TX 78257-1160
Phone 210-390-0008 · Fax 833-972-1632
Authorized official
Gregory D Gordon
Owner
2103900008
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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