NPIMap

Organization Active NPI

Isaac Sosa M.D. P.a.

  • Primary Care Clinic/Center
  • Uvalde, TX
National Provider Identifier
1114127347
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
H7829 Issued in TX
Legal business name
ISAAC SOSA M.D. P.A.
Practice address
1195 Garner Field Rd
Ste. 400
Uvalde, TX 78801-4822
Phone
(830) 278-6265
Fax
(830) 278-6286
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Mrs. Susan Rose Champagne-Miller, CPC
Title
Administrator
Phone
(512) 225-6345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X H7829 TX Primary

Addresses

Primary practice location

1195 Garner Field Rd
Ste. 400
Uvalde, TX 78801-4822

Mailing address

PO Box 1288
Uvalde, TX 78802-1288
Phone (830) 278-6265

Other identifiers 6

IdentifierTypeStateIssuer
079736701MedicaidTX
138814206MedicaidTX
CH4353OtherTXMEDICARE RAILROAD
00060NOtherTXBCBS
110225317OtherTXMEDICARE RAILROAD
86590NOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

524 E Nopal St
Uvalde, TX 78801
Phone (830) 278-4588

1042 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6681

Practitioners & affiliated clinicians

Practitioners 8

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1114127347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788021288",
            "telephone_number": "830-278-6265",
            "fax_number": "830-278-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 GARNER FIELD RD",
            "address_2": "STE. 400",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014822",
            "telephone_number": "830-278-6265",
            "fax_number": "830-278-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAAC SOSA M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE-MILLER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "512-225-6345",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "H7829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079736701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138814206",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CH4353",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00060N",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110225317",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86590N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uvalde, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.