Individual provider Active NPI

Julian M Davila, NP-C

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1043987837
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1052574 Issued in TX
Practice address
223 E Hildebrand Ave Ste 105
San Antonio, TX 78212-2889
Phone
(281) 783-8162
NPI assigned
Aug 27, 2021
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1052574 TX Primary
Family Nurse Practitioner 363LF0000X 1052574 TX

Addresses

Primary practice location

223 E Hildebrand Ave Ste 105
San Antonio, TX 78212-2889

Mailing address

2925 Briarpark Dr Ste 575
Houston, TX 77042-3776
Phone (832) 626-2842

Other practice location 1

12980 Bandera Rd # 8990
Helotes, TX 78023-4098
Phone (210) 372-0386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211013003788 TX Practitioner - Nurse Practitioner 3476951955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians

Practice addresses (Care Compare)

1150 N Loop 1604
Suite 150
San Antonio, TX 78248-4505
Phone (281) 783-8162

1246 N FM 3083 Rd W
Suite B
Conroe, TX 77304-5340
Phone (281) 783-8162

16312 Southwest Fwy
Sugar Land, TX 77479-2371
Phone (281) 783-8162

19016 Stone Oak Pkwy
Suite 140
San Antonio, TX 78258-3281
Phone (877) 448-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1052574TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Oct 15, 2022 Accepting new patients
Metro Infectious Disease Consultants, LLC Nurse Practitioner CurrentSince Mar 1, 2026 Accepting new patients
Nluc PLLC CurrentSince Oct 15, 2022 Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Mar 1, 2026 Accepting new patients
CVS Pharmacy Inc PastSince Aug 1, 2021 Accepting new patients
St. David's Carenow Urgent Care PLLC Past Accepting new patients

Locations

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

19016 Stone Oak Pkwy
Ste 140
San Antonio, TX 78258
Phone (210) 494-9109

223 E Hildebrand Ave
Ste 105
San Antonio, TX 78212

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1043987837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 BRIARPARK DR STE 575",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423776",
            "telephone_number": "832-626-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E HILDEBRAND AVE STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122889",
            "telephone_number": "281-783-8162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12980 Bandera Rd # 8990",
            "address_purpose": "LOCATION",
            "city": "Helotes",
            "state": "TX",
            "postal_code": "780234098",
            "country_code": "US",
            "telephone_number": "210-372-0386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "JULIAN",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-27",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1052574",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1052574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.