Organization Active NPI

Alliance for Wellness Group Professional Association

  • Adult Medicine Physician
  • San Antonio, TX
National Provider Identifier
1194766246
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
H9490 Issued in TX
Legal business name
ALLIANCE FOR WELLNESS GROUP PROFESSIONAL ASSOCIATION
Practice address
7940 Floyd Curl Dr
San Antonio, TX 78229-3905
Phone
(210) 614-4882
Fax
(210) 614-5386
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Authorized official

Name
Dr. Wanda Angueira, MD
Title
President
Phone
(210) 614-4882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X H9490 TX Primary

Addresses

Primary practice location

7940 Floyd Curl Dr
San Antonio, TX 78229-3905

Mailing address

PO Box 291028
San Antonio, TX 78229-1628
Phone (210) 614-4882

Other identifiers 1

IdentifierTypeStateIssuer
080500401MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1194766246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291028",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782291628",
            "telephone_number": "210-614-4882",
            "fax_number": "210-614-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293905",
            "telephone_number": "210-614-4882",
            "fax_number": "210-614-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE FOR WELLNESS GROUP PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "ANGUEIRA",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-614-4882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "H9490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080500401",
            "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 Aug 3, 2011; 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.