Active NPI
William J Peche, M.D., P. a
- Clinic/Center
- San Antonio, TX
National Provider Identifier
1306018676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WILLIAM J PECHE, M.D., P. A
- Practice address
- 205 E Evergreen St
San Antonio, TX 78212-4748 - Phone
- (210) 225-2641
- Fax
- (210) 225-7873
- NPI assigned
- Mar 27, 2008
- 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
- Dr. William J Peche, M.D.
- Title
- President
- Phone
- (210) 225-2641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
205 E Evergreen St
San Antonio, TX 78212-4748
Mailing address
205 E Evergreen St
San Antonio, TX 78212-4748
Phone (210) 225-2641
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8BE100 | Other | TX | BLUE CROSS |
| 033225601 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
205 E Evergreen St
San Antonio, TX 78212
Phone (210) 225-2641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251849600000",
"number": "1306018676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E EVERGREEN ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124748",
"telephone_number": "210-225-2641",
"fax_number": "210-225-7873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E EVERGREEN ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782124748",
"telephone_number": "210-225-2641",
"fax_number": "210-225-7873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM J PECHE, M.D., P. A",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2009-09-02",
"status": "A",
"authorized_official_last_name": "PECHE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-225-2641",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8BE100",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033225601",
"state": "TX"
}
],
"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 Sep 2, 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.