Organization Active NPI

Mark B Weinstein, M.D.,P.a.

  • Specialist
  • San Antonio, TX
National Provider Identifier
1235376575
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E1174 Issued in TX
Legal business name
MARK B WEINSTEIN, M.D.,P.A.
Practice address
7950 Floyd Curl Drive
Suite 909
San Antonio, TX 78229-3972
Phone
(210) 614-3575
Fax
(210) 692-7116
NPI assigned
Jan 8, 2009
Organization subpart
Yes
Parent organization
MARK B WEINSTEIN, M.D.,P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Mrs. Connie C Gibson
Title
Business Office
Phone
(210) 614-3575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E1174 TX Primary

Addresses

Primary practice location

7950 Floyd Curl Drive
Suite 909
San Antonio, TX 78229-3972

Mailing address

7950 Floyd Curl Drive
Suite 909
San Antonio, TX 78229-3972
Phone (210) 614-3575

Other identifiers 1

IdentifierTypeStateIssuer
032269501MedicaidTX

Other names 1

  • SAN ANTONIO SKIN AND CANCER CLINIC Other name

National Provider Directory

National Provider Directory
Part of
San Antonio Skin and Ca

Locations

7950 Floyd Curl Dr
Ste 909
San Antonio, TX 78229
Phone (210) 614-3575

7950 Floyd Curl Dr
Ste 401
San Antonio, TX 78229
Phone (210) 614-3575

Practitioners & affiliated clinicians

Practitioners 4

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": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1235376575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 FLOYD CURL DRIVE",
            "address_2": "SUITE 909",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293972",
            "telephone_number": "210-614-3575",
            "fax_number": "210-692-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 FLOYD CURL DRIVE",
            "address_2": "SUITE 909",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293972",
            "telephone_number": "210-614-3575",
            "fax_number": "210-692-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK B WEINSTEIN, M.D.,P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARK B WEINSTEIN, M.D.,P.A.",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "210-614-3575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E1174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032269501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN ANTONIO SKIN AND CANCER CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 8, 2009; 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.