South Texas Medspa LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH TEXAS MEDSPA LLC

Practice address

14615 San Pedro Ave
120
San Antonio, TX 78232-4321

Phone

(210) 971-4000

NPI assigned

Nov 19, 2015

Organization subpart

No

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

Authorized official

Name

Brandon Edward Heath

Title

Managing Member

Phone

(214) 662-4014

Specialties & licenses 1

Addresses

Other names 1

• Slimedica Doing business as

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1194199760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14615 SAN PEDRO AVE",
            "address_2": "120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324321",
            "telephone_number": "210-971-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14615 SAN PEDRO AVE",
            "address_2": "120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324321",
            "telephone_number": "210-971-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS MEDSPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-662-4014"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Slimedica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Texas Internal Medicine Associates, P.a.
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• South Texas Lice Clinics LLC
• South Texas Medical Supply Dba
• South Texas MRI LTD
• South Texas Nephrology, P.a
• South Texas Neurobehavioral Group LLC
• South Texas Neurology LLC
• South Texas Neuropsychological Associates PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.