Organization Active NPI

Cedar Hills Family Practice, P.a.

  • Primary Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1306093505
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CEDAR HILLS FAMILY PRACTICE, P.A.
Practice address
3166 SE Military Dr
Suite 103
San Antonio, TX 78223-3978
Phone
(210) 298-4711
Fax
(210) 298-4717
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
James Edward Williams, M.D.
Title
President/Physician
Phone
(210) 298-4711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

3166 SE Military Dr
Suite 103
San Antonio, TX 78223-3978

Mailing address

3166 SE Military Dr
Suite 103
San Antonio, TX 78223-3978
Phone (210) 298-4711

Other identifiers 1

IdentifierTypeStateIssuer
00Z989OtherTXMEDICARE

National Provider Directory

National Provider Directory

Locations

3103 SE Military Dr
Ste 105
San Antonio, TX 78223
Phone (210) 226-5350

3103 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 298-4711

3166 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 298-4711

Practitioners & affiliated clinicians

Practitioners 3

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": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1306093505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 SE MILITARY DR",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233978",
            "telephone_number": "210-298-4711",
            "fax_number": "210-298-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 SE MILITARY DR",
            "address_2": "SUITE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233978",
            "telephone_number": "210-298-4711",
            "fax_number": "210-298-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILLS FAMILY PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "210-298-4711",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00Z989",
            "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 Mar 25, 2021; 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.