NPIMap

Organization Active NPI

Sa Expert Physicians PLLC

  • Specialist
  • San Antonio, TX
National Provider Identifier
1053642983
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SA EXPERT PHYSICIANS PLLC
Practice address
1010 NW Loop 410
San Antonio, TX 78213-2220
Phone
(281) 404-3024
Fax
(281) 520-4221
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Ms. Jackie Gomez
Title
Credentialing
Phone
(281) 404-3024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1010 NW Loop 410
San Antonio, TX 78213-2220

Mailing address

25002 Genesse Valey Dr
Spring, TX 77389-2703
Phone (281) 404-3024

National Provider Directory

National Provider Directory

Locations

1010 NW Loop 410
San Antonio, TX 78213
Phone (210) 340-2344

Practitioners & affiliated clinicians

Practitioners 5

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": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1053642983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25002 GENESSE VALEY DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773892703",
            "telephone_number": "281-404-3024",
            "fax_number": "281-520-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NW LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132220",
            "telephone_number": "281-404-3024",
            "fax_number": "281-520-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA EXPERT PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "281-404-3024",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "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 May 18, 2010; 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.