Stateserv Medical of San Antonio

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

TX32303 Issued in TX

Legal business name

STATESERV MEDICAL OF SAN ANTONIO

Practice address

4338 Tejasco Drive
San Antonio, TX 78218

Phone

(877) 633-7250

NPI assigned

Apr 22, 2015

Organization subpart

Yes

Parent organization

STATESERV MEDICAL, LLCAs reported in NPPES

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

Authorized official

Name

Christopher Roode

Title

Coo

Phone

(877) 633-7250

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1063809622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S. ALMA SCHOOL ROAD",
            "address_2": "SUITE 4000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "336-227-8030",
            "fax_number": "336-227-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 TEJASCO DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78218",
            "telephone_number": "877-633-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESERV MEDICAL OF SAN ANTONIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATESERV MEDICAL, LLC",
        "enumeration_date": "2015-04-22",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "ROODE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "877-633-7250"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "TX32303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Nicholas Stasik, M.D.
• CHI Nguyen Stasio, DO
• Francis Stasky
• Stat EMS
• Rochelle Laverne Staten, NP
• Elaine Estes Staton, FPMHNP-BC
• Leslie L Staton, REGISTERED DIETITIAN
• Susan P. Stattmiller, D.D.S., M.P.H.
• Michael Joe Statton, M.D.
• Ken Statz

• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.