Organization Active NPI

South Texas Perinatal Cardiology

  • Pediatric Cardiology Physician
  • San Antonio, TX
National Provider Identifier
1124274360
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
H1611 Issued in TX
Legal business name
SOUTH TEXAS PERINATAL CARDIOLOGY
Practice address
525 Oak Centre Dr.
Suite 200
San Antonio, TX 78258-3916
Phone
(210) 402-0473
Fax
(210) 490-5062
NPI assigned
Aug 7, 2008
Last updated
Jun 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Dr. Da-Hae Lee, M.D.NPI 1528160694
Title
Owner
Phone
(210) 402-0473

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
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X H1611 TX Primary

Addresses

Primary practice location

525 Oak Centre Dr.
Suite 200
San Antonio, TX 78258-3916

Mailing address

525 Oak Centre Dr.
Suite 200
San Antonio, TX 78258-3916
Phone (210) 402-0473

National Provider Directory

National Provider Directory

Locations

525 Oak Centre Dr
Ste 200
San Antonio, TX 78258
Phone (210) 297-4525

Practitioners & affiliated clinicians

Practitioners 1

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": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1124274360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR.",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583916",
            "telephone_number": "210-402-0473",
            "fax_number": "210-490-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR.",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583916",
            "telephone_number": "210-402-0473",
            "fax_number": "210-490-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS PERINATAL CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DA-HAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-402-0473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "H1611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

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