Active NPI
San Antonio Prime Wellness
- General Practice Physician
- San Antonio, TX
National Provider Identifier
1285547034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SAN ANTONIO PRIME WELLNESS
- Practice address
- 1303 McCullough Ave Ste 226
San Antonio, TX 78212-5604 - Phone
- (210) 455-3309
- Fax
- (210) 455-3442
- NPI assigned
- Sep 23, 2026
- Last updated
- Sep 23, 2026
- 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
- John Ledbetter, DO
- Title
- Owner
- Phone
- (210) 722-9395
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
1303 McCullough Ave Ste 226
San Antonio, TX 78212-5604
Mailing address
1303 McCullough Ave Ste 226
San Antonio, TX 78212-5604
Phone (210) 455-3309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1285547034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 MCCULLOUGH AVE STE 226",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125604",
"telephone_number": "210-455-3309",
"fax_number": "210-455-3442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 MCCULLOUGH AVE STE 226",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125604",
"telephone_number": "210-455-3309",
"fax_number": "210-455-3442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN ANTONIO PRIME WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "LEDBETTER",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-722-9395",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- San Antonio Podiatry Associates PLLC
- San Antonio Premier Internal Medicine
- San Antonio Premier Internal Medicine, PLLC (SA Premier IM)
- San Antonio Preventive & Diagnostic Medicine
- San Antonio Primary Care Associates PLLC
- San Antonio Prosthetics Corporation
- San Antonio Refugee Youth Sports Amrica (N/a)
- San Antonio Reproductive Associates PLLC
- San Antonio Retina Associates, PLLC
- San Antonio Rheumatology Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.