Organization Active NPI

Texas Medical Building Inc

  • General Practice Physician
  • Pleasanton, TX
National Provider Identifier
1063515658
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TEXAS MEDICAL BUILDING INC
Practice address
130 Water St
Pleasanton, TX 78064
Phone
(830) 569-5030
Fax
(830) 281-2979
NPI assigned
Sep 7, 2006
Last updated
Jun 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Enrique A Garcia, MDNPI 1891898482
Title
Administrator
Phone
(830) 569-5030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

130 Water St
Pleasanton, TX 78064

Mailing address

130 Water St
Pleasanton, TX 78064
Phone (830) 569-5030

Other identifiers 2

IdentifierTypeStateIssuer
127126405MedicaidTX
153998301MedicaidTX

National Provider Directory

National Provider Directory

Locations

130 S Water St
Pleasanton, TX 78064
Phone (830) 224-6670

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1063515658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WATER ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "78064",
            "telephone_number": "830-569-5030",
            "fax_number": "830-281-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WATER ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "78064",
            "telephone_number": "830-569-5030",
            "fax_number": "830-281-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MEDICAL BUILDING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-569-5030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127126405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153998301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.