Organization Active NPI

Accord Medical Management, LP

Doing business as Nix Health Care System

  • Rehabilitation Hospital Unit
  • San Antonio, TX
National Provider Identifier
1073574505
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
000396 Issued in TX
Legal business name
ACCORD MEDICAL MANAGEMENT, LP
Doing business as
Nix Health Care System
Practice address
4330 Vance Jackson Rd
San Antonio, TX 78230-5321
Phone
(210) 271-2188
Fax
(210) 271-2023
NPI assigned
Apr 2, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ACCORD MEDICAL MANAGEMENT, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Mr. Lester E Surrock, CPA
Title
Senior Vice President and Cfo
Phone
(210) 271-2190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 000396 TX Primary

Addresses

Primary practice location

4330 Vance Jackson Rd
San Antonio, TX 78230-5321

Mailing address

414 Navarro St
Suite 600
San Antonio, TX 78205-2516
Phone (210) 271-2188

Other identifiers 1

IdentifierTypeStateIssuer
HH0167OtherTXBLUE CROSS PROVIDER NO

Other names 1

  • Nix Health Care System Doing business as

National Provider Directory

National Provider Directory
Part of
Accord Medical Managment LP

NPI Registry JSON

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

{
    "created_epoch": "1143936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1073574505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "SUITE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052516",
            "telephone_number": "210-271-2188",
            "fax_number": "210-271-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 VANCE JACKSON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305321",
            "telephone_number": "210-271-2188",
            "fax_number": "210-271-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCORD MEDICAL MANAGEMENT, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCORD MEDICAL MANAGEMENT, LP",
        "enumeration_date": "2006-04-02",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SURROCK",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT AND CFO",
        "authorized_official_telephone_number": "210-271-2190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TX",
            "license": "000396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "HH0167",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nix Health Care System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 17, 2018; 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.