Pediatric Urology of San Antonio PLLC

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

Legal business name

PEDIATRIC UROLOGY OF SAN ANTONIO PLLC

Practice address

12446 West Ave
Ste 200
San Antonio, TX 78216-2517

Phone

(210) 525-1668

Fax

(210) 525-1669

NPI assigned

Dec 2, 2016

Organization subpart

No

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

Authorized official

Name

Juan Prieto, MD

Title

Partner

Phone

(210) 525-1668

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Andrew John Marks, M.D.

  • Pediatric Urology Physician
  • San Antonio, TX
  • NPI 1679702377
  NPD

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1033652425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12446 WEST AVE",
            "address_2": "STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162517",
            "telephone_number": "210-525-1668",
            "fax_number": "210-525-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12446 WEST AVE",
            "address_2": "STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162517",
            "telephone_number": "210-525-1668",
            "fax_number": "210-525-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC UROLOGY OF SAN ANTONIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "PRIETO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "210-525-1668",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Medicine, PA
• Pediatric Nursing of Texas, LLC
• Pediatric Orthopedic Associates of San Antonio
• Pediatric Private Duty Nursing, Inc
• Pediatric Therapy Specialists, LLC
• Pediatrics and Adolescents
• Pedicatric Cardiology Associates
• Pedidocs PLLC
• Amanda Pedlar
• Andrea Pedraza, DO

• Pediatric Urology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.