Organization Active NPI

Pulmonology and Sleep Services of San Antonio LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Live Oak, TX
National Provider Identifier
1114365681
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
PULMONOLOGY AND SLEEP SERVICES OF SAN ANTONIO LLC
Practice address
11901 Toepperwein Rd
Ste 1401
Live Oak, TX 78233-3161
Phone
(210) 599-1433
Fax
(210) 599-1803
NPI assigned
Jun 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Muhammad TalibNPI 1700855640
Title
General Manager
Phone
(210) 599-1433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

11901 Toepperwein Rd
Ste 1401
Live Oak, TX 78233-3161

Mailing address

11901 Toepperwein Rd
Ste 1401
Live Oak, TX 78233-3161
Phone (210) 599-1433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130731000102 TX Part B Supplier - Clinic/Group Practice 9436390606 Receives reassigned benefits from 2 practitioners
Practice locations: Live Oak, TX

National Provider Directory

National Provider Directory

Locations

790 Generations Dr
Ste 405
New Braunfels, TX 78130
Phone (210) 767-2549

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1114365681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 TOEPPERWEIN RD",
            "address_2": "STE 1401",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333161",
            "telephone_number": "210-599-1433",
            "fax_number": "210-599-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 TOEPPERWEIN RD",
            "address_2": "STE 1401",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333161",
            "telephone_number": "210-599-1433",
            "fax_number": "210-599-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONOLOGY AND SLEEP SERVICES OF SAN ANTONIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "TALIB",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "210-599-1433"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.