Individual provider Active NPI

Otilia Lazcano, APRN, FNP-C, LSA

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1134531080
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1148572 Issued in TX
Practice address
4515 N Loop 1604 W Ste 301
San Antonio, TX 78249-4588
Phone
(210) 404-2229
Fax
(726) 204-8019
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1148572 TX Primary
Surgery Physician 208600000X 12-230 TX

Addresses

Primary practice location

4515 N Loop 1604 W Ste 301
San Antonio, TX 78249-4588

Mailing address

20211 Huebner Rd Apt 1011
San Antonio, TX 78258-3277
Phone (713) 269-7466

Other identifiers 2

IdentifierTypeStateIssuer
1148572OtherTXAPRN
SA00837OtherTXLSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12-230TXMDSurgery Physician
1148572TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vog Surgical Services Current Accepting new patients
Houston Surgical Assistant Services, Inc. Surgery Past Accepting new patients
Houston Surgical Assistant Services Surgery Past Accepting new patients

Locations

21175 Tomball Pkwy
Houston, TX 77070
Phone (281) 251-5544

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1134531080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20211 HUEBNER RD APT 1011",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583277",
            "telephone_number": "713-269-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 N LOOP 1604 W STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494588",
            "telephone_number": "210-404-2229",
            "fax_number": "726-204-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZCANO",
        "first_name": "OTILIA",
        "credential": "APRN, FNP-C, LSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1148572",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "12-230",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "1148572",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LSA",
            "identifier": "SA00837",
            "state": "TX"
        }
    ],
    "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 Jan 27, 2026; 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.