John S Matlock MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F5644 Issued in TX

Legal business name

JOHN S MATLOCK MD PA

Practice address

11503 NW Military Hwy
Suite 321
San Antonio, TX 78231-1884

Phone

(210) 492-1677

Fax

(210) 492-1877

NPI assigned

Apr 7, 2014

Organization subpart

No

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

Authorized official

Name

John S Matlock, MD

Title

Owner

Phone

(210) 492-1677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1154740132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 NW MILITARY HWY",
            "address_2": "SUITE 321",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311884",
            "telephone_number": "210-492-1677",
            "fax_number": "210-492-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 NW MILITARY HWY",
            "address_2": "SUITE 321",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311884",
            "telephone_number": "210-492-1677",
            "fax_number": "210-492-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S MATLOCK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "MATLOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-492-1677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F5644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chimdinma John, NONE
• Christi John, FNP-C

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.