Organization Active NPI

Trawick, Inc.

  • Physiological Laboratory
  • San Antonio, TX
National Provider Identifier
1093709115
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
11 Issued in TX
Legal business name
TRAWICK, INC.
Practice address
415 Camden St
San Antonio, TX 78215-1923
Phone
(210) 223-9019
Fax
(210) 223-5272
NPI assigned
Sep 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Mattie Trawick
Title
Secretary/Tresurer
Phone
(210) 223-9019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X 11 TX Primary

Addresses

Primary practice location

415 Camden St
San Antonio, TX 78215-1923

Mailing address

415 Camden St
San Antonio, TX 78215-1923
Phone (210) 223-9019

Other identifiers 1

IdentifierTypeStateIssuer
PL0226OtherTXBLUECROSSBLUESHIELD

Other names 1

  • HHC PULMONARY LAB Doing business as

National Provider Directory

National Provider Directory

Locations

415 Camden St
San Antonio, TX 78215
Phone (210) 223-9019

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093709115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CAMDEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151923",
            "telephone_number": "210-223-9019",
            "fax_number": "210-223-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CAMDEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151923",
            "telephone_number": "210-223-9019",
            "fax_number": "210-223-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAWICK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRAWICK",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_title_or_position": "SECRETARY/TRESURER",
        "authorized_official_telephone_number": "210-223-9019",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "TX",
            "license": "11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "PL0226",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HHC PULMONARY LAB",
            "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 Jul 21, 2022; 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.