Organization Active NPI

Pinkston Family Practice

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1306069067
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K9871 Issued in TX
Legal business name
PINKSTON FAMILY PRACTICE
Practice address
4499 Medical Dr
Suite 170
San Antonio, TX 78229-3735
Phone
(210) 615-7911
Fax
(210) 615-0585
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marianne Pinkston, MD
Title
Medical Doctor
Phone
(210) 615-7911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K9871 TX Primary

Addresses

Primary practice location

4499 Medical Dr
Suite 170
San Antonio, TX 78229-3735

Mailing address

4499 Medical Dr
Suite 170
San Antonio, TX 78229-3735
Phone (210) 615-7911

National Provider Directory

National Provider Directory

Locations

4499 Medical Dr
Ste 170
San Antonio, TX 78229
Phone (210) 615-7911

4402 Vance Jackson Rd
Ste 101
San Antonio, TX 78230

6865 Camp Bullis Rd
Ste 101
San Antonio, TX 78256
Phone (210) 698-7825

Practitioners & affiliated clinicians

Practitioners 2

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306069067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "SUITE 170",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293735",
            "telephone_number": "210-615-7911",
            "fax_number": "210-615-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "SUITE 170",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293735",
            "telephone_number": "210-615-7911",
            "fax_number": "210-615-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINKSTON FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINKSTON",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "210-615-7911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9871",
            "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 Aug 22, 2020; 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.