Organization Active NPI

Neil F Haddock MD PA

Doing business as Sonterra Dermatology PLLC

  • Specialist
  • San Antonio, TX
National Provider Identifier
1215229992
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F9519 Issued in TX
Legal business name
NEIL F HADDOCK MD PA
Doing business as
Sonterra Dermatology PLLC
Practice address
325 E Sonterra Blvd Ste 110
San Antonio, TX 78258-4055
Phone
(210) 496-5792
NPI assigned
May 12, 2011
Last updated
Jan 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Neil Haddock, MDNPI 1699739052
Title
Owner
Phone
(210) 496-5792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F9519 TX Primary

Addresses

Primary practice location

325 E Sonterra Blvd Ste 110
San Antonio, TX 78258-4055

Mailing address

325 E Sonterra Blvd Ste 110
San Antonio, TX 78258-4055
Phone (210) 496-5792

Other names 1

  • Sonterra Dermatology PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

325 E Sonterra Blvd
Ste 110
San Antonio, TX 78258
Phone (210) 402-1222

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": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1215229992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E SONTERRA BLVD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584055",
            "telephone_number": "210-496-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E SONTERRA BLVD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584055",
            "telephone_number": "210-496-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL F HADDOCK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "HADDOCK",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-496-5792",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F9519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonterra Dermatology PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 3, 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.