Organization Active NPI

Alamo Urgent Care Dba Complete Urgent Care

  • Urgent Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1083932099
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ALAMO URGENT CARE DBA COMPLETE URGENT CARE
Practice address
5222 Dezavala Rd
Suite 304
San Antonio, TX 78249-1772
Phone
(210) 520-3737
Fax
(210) 520-1234
NPI assigned
May 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Dr. Brad Deykin, MD
Title
MD/Partner
Phone
(210) 520-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X TX Primary

Addresses

Primary practice location

5222 Dezavala Rd
Suite 304
San Antonio, TX 78249-1772

Mailing address

5222 Dezavala Rd
Suite 304
San Antonio, TX 78249-1772
Phone (210) 520-3737

Other identifiers 2

IdentifierTypeStateIssuer
6648060002OtherTXMCARE RAILROAD
0034SGOtherTXBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1083932099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 DEZAVALA RD",
            "address_2": "SUITE 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491772",
            "telephone_number": "210-520-3737",
            "fax_number": "210-520-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 DEZAVALA RD",
            "address_2": "SUITE 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491772",
            "telephone_number": "210-520-3737",
            "fax_number": "210-520-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO URGENT CARE DBA COMPLETE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "DEYKIN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "MD/PARTNER",
        "authorized_official_telephone_number": "210-520-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE RAILROAD",
            "identifier": "6648060002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0034SG",
            "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 Apr 10, 2012; 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.