NPIMap

Organization Active NPI

San Antonio Allergenic and Wellness LLC

  • Allergy Physician
  • San Antonio, TX
National Provider Identifier
1073963526
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
SAN ANTONIO ALLERGENIC AND WELLNESS LLC
Practice address
9023 Huebner Rd
Ste 105
San Antonio, TX 78240-2071
Phone
(512) 201-2668
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
John Nelson
Title
Owner
Phone
(512) 680-6673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

9023 Huebner Rd
Ste 105
San Antonio, TX 78240-2071

Mailing address

9023 Huebner Rd
Ste 105
San Antonio, TX 78240-2071
Phone (512) 201-2668

National Provider Directory

National Provider Directory

Locations

9023 Huebner Rd
Ste 105
San Antonio, TX 78240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1073963526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9023 HUEBNER RD",
            "address_2": "STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402071",
            "telephone_number": "512-201-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 HUEBNER RD",
            "address_2": "STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402071",
            "telephone_number": "512-201-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO ALLERGENIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-680-6673"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 15, 2016; 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.