Southtown Clinic, PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SOUTHTOWN CLINIC, PC

Practice address

1025 S Presa St
San Antonio, TX 78210-1359

Phone

(210) 228-9340

Fax

(210) 228-9342

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Mary Gomez Curll, FNPNPI 1174528319

Title

President

Phone

(210) 228-9340

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Gomez Curll, RN, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1174528319
  Medicare reassignment NPD Authorized official
• James Kenneth Curll, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
  • NPI 1972091437
  Medicare reassignment
• Kenneth W Curll, CNS

  • Medical-Surgical Clinical Nurse Specialist
  • San Antonio, TX
  • NPI 1114364486
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1124201652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S PRESA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782101359",
            "telephone_number": "210-228-9340",
            "fax_number": "210-228-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S PRESA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782101359",
            "telephone_number": "210-228-9340",
            "fax_number": "210-228-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHTOWN CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "CURLL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "GOMEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-228-9340",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.