Active NPI
Centrix One Healthcare, LLC
- Anesthesiology Physician
- San Marcos, TX
National Provider Identifier
1114388451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 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 DirectoryNPI 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.