Organization Active NPI

South Texas Health Alliance

  • Pediatric Surgery Physician
  • San Antonio, TX
National Provider Identifier
1245566207
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
Legal business name
SOUTH TEXAS HEALTH ALLIANCE
Practice address
315 N San Saba
Suite 1195
San Antonio, TX 78207-3154
Phone
(210) 886-8340
Fax
(210) 886-8344
NPI assigned
Oct 27, 2009
Last updated
May 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Donna J Mikulecky
Title
VP Board of Directors
Phone
(713) 277-2208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X NU Primary

Addresses

Primary practice location

315 N San Saba
Suite 1195
San Antonio, TX 78207-3154

Mailing address

1700 West Loop South
Ste 400B
Houston, TX 77027-3005
Phone (713) 277-2700

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, 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": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1245566207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WEST LOOP SOUTH",
            "address_2": "STE 400B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273005",
            "telephone_number": "713-277-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N SAN SABA",
            "address_2": "SUITE 1195",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073154",
            "telephone_number": "210-886-8340",
            "fax_number": "210-886-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "MIKULECKY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "713-277-2208"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 4, 2010; 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.