De Zavala Medical Center

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

160305 Issued in TX

Legal business name

DE ZAVALA MEDICAL CENTER

Practice address

12805 W Interstate 10
San Antonio, TX 78249-2211

Phone

(210) 957-3030

NPI assigned

Dec 2, 2016

Organization subpart

Yes

Parent organization

FIRST CHOICE EMERGENCY ROOMAs reported in NPPES

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

Authorized official

Name

Kimberly Harper

Title

Revenue Integrity Analyst

Phone

(972) 899-6709

Specialties & licenses 1

Addresses

Part of

Little Road Medical Center

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1063955466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840795",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840795",
            "telephone_number": "972-899-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 W INTERSTATE 10",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492211",
            "telephone_number": "210-957-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE ZAVALA MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST CHOICE EMERGENCY ROOM",
        "enumeration_date": "2016-12-02",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "REVENUE INTEGRITY ANALYST",
        "authorized_official_telephone_number": "972-899-6709"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia De Veaux
• Manuel Ronald Biangco De Vera, PT
• Sharlene Dela Cruz De Vera, RN
• Sabina Remmers De Vries, LPC
• De Zavala Dentistry and Orthodontics PLLC
• De Zavala Modern Dentistry, PC (De Zavala Modern Dentistry)
• De Zavala Precision Smile Structure
• Ron Deage, M.A.,LPC,LCDC,LMFT
• Samuel Thomas Deahl II, DMD
• Leonard E Deal, MD

• Emergency Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.