Active NPI
Shalom Family and Weight Loss Clinic, PLLC
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1265118806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SHALOM FAMILY AND WEIGHT LOSS CLINIC, PLLC
- Doing business as
- Shalom Family and Weight Loss Clinic, PLLC
- Practice address
- 2819 NW Loop 410 Ste a
San Antonio, TX 78230-5105 - Phone
- (210) 500-8639
- Fax
- (210) 783-9179
- NPI assigned
- Jun 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amy J Williams, FNP-BC
- Title
- Owner/FNP
- Phone
- (210) 500-8639
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2819 NW Loop 410 Ste a
San Antonio, TX 78230-5105
Mailing address
8514 Kallison Arbor
San Antonio, TX 78254-4557
Phone (512) 568-9636
Other names 1
- Shalom Family and Weight Loss Clinic, PLLC
National Provider Directory
National Provider DirectoryLocations
9258 Culebra Rd
Ste 122
San Antonio, TX 78251
9258 Culebra Rd
Ste 118
San Antonio, TX 78251
Phone (210) 500-8639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1265118806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8514 KALLISON ARBOR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782544557",
"telephone_number": "512-568-9636",
"fax_number": "210-783-9179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2819 NW LOOP 410 STE A",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305105",
"telephone_number": "210-500-8639",
"fax_number": "210-783-9179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHALOM FAMILY AND WEIGHT LOSS CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-27",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/FNP",
"authorized_official_telephone_number": "210-500-8639",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shalom Family and Weight Loss Clinic, PLLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Shalom Family and Weight Loss Clinic, 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 Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.