Organization Active NPI

PHD Med

  • Health Maintenance Organization
  • San Antonio, TX
National Provider Identifier
1003460288
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
PHD MED
Practice address
1205 N Loop 1604 W Ste 225
San Antonio, TX 78258-4627
Phone
(210) 843-3565
NPI assigned
Jul 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Therese Rizzo, NPNPI 1245485556
Title
Owner and Practitioner
Phone
(210) 843-3565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1205 N Loop 1604 W Ste 225
San Antonio, TX 78258-4627

Mailing address

702 Contadora
San Antonio, TX 78258-4157

Other practice location 1

702 Contadora
San Antonio, TX 78258-4157
Phone (210) 843-3565

National Provider Directory

National Provider Directory

Locations

1205 N Loop 1604 W
Ste 225
San Antonio, TX 78258
Phone (210) 437-2759

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1003460288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CONTADORA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N LOOP 1604 W STE 225",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584627",
            "telephone_number": "210-843-3565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 Contadora",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584157",
            "country_code": "US",
            "telephone_number": "210-843-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHD MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "RIZZO",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "OWNER AND PRACTITIONER",
        "authorized_official_telephone_number": "210-843-3565",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.