Organization Active NPI

Centrix One Healthcare, LLC

  • Anesthesiology Physician
  • San Marcos, TX
National Provider Identifier
1114388451
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CENTRIX ONE HEALTHCARE, LLC
Practice address
611 Staples Rd
San Marcos, TX 78666-1426
Phone
(512) 535-0322
Fax
(512) 535-6002
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Julie Candelario
Title
Director
Phone
(512) 551-0770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

611 Staples Rd
San Marcos, TX 78666-1426

Mailing address

611 Staples Rd
San Marcos, TX 78666-1426
Phone (512) 535-0322

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1114388451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 STAPLES RD",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786661426",
            "telephone_number": "512-535-0322",
            "fax_number": "512-535-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 STAPLES RD",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786661426",
            "telephone_number": "512-535-0322",
            "fax_number": "512-535-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRIX ONE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "CANDELARIO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-551-0770"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

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