Organization Active NPI

Charles a. Holshouser Jr, M.D. P.a.

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1063720381
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CHARLES A. HOLSHOUSER JR, M.D. P.A.
Practice address
4499 Medical Drive
Suite 183
San Antonio, TX 78229-3711
Phone
(210) 692-5200
Fax
(210) 692-7725
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Charles A. Holshouser Jr., M.D.
Title
Business Owner
Phone
(210) 692-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4499 Medical Drive
Suite 183
San Antonio, TX 78229-3711

Mailing address

4499 Medical Drive
Suite 183
San Antonio, TX 78229-3711
Phone (210) 692-5200

Other identifiers 1

IdentifierTypeStateIssuer
100256002MedicaidTX

National Provider Directory

National Provider Directory

Locations

4499 Medical Dr
Ste 183
San Antonio, TX 78229
Phone (210) 692-5200

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1063720381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DRIVE",
            "address_2": "SUITE 183",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293711",
            "telephone_number": "210-692-5200",
            "fax_number": "210-692-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DRIVE",
            "address_2": "SUITE 183",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293711",
            "telephone_number": "210-692-5200",
            "fax_number": "210-692-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A. HOLSHOUSER JR, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "HOLSHOUSER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "210-692-5200",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100256002",
            "state": "TX"
        }
    ],
    "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 Sep 21, 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.