Organization Active NPI

National Medical Professionals of Greater Texas PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1306355011
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NATIONAL MEDICAL PROFESSIONALS OF GREATER TEXAS PLLC
Practice address
5530 Tezel Rd
San Antonio, TX 78250-4194
Phone
(972) 899-6996
NPI assigned
Sep 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
Donald Lyles
Title
Coo
Phone
(972) 899-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

5530 Tezel Rd
San Antonio, TX 78250-4194

Mailing address

220 Las Colinas Blvd E Ste 1000
Irving, TX 75039-5500
Phone (972) 899-6666

Other identifiers 5

IdentifierTypeStateIssuer
377776501MedicaidTX
378866301MedicaidTX
378872101MedicaidTX
378869701MedicaidTX
378564401MedicaidTX

National Provider Directory

National Provider Directory

Locations

1220 W Fairmont Pkwy
La Porte, TX 77571
Phone (281) 941-4820

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

Practitioners & affiliated clinicians

Practitioners 1

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": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1306355011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LAS COLINAS BLVD E STE 1000",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750395500",
            "telephone_number": "972-899-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 TEZEL RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782504194",
            "telephone_number": "972-899-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL MEDICAL PROFESSIONALS OF GREATER TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "LYLES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "972-899-6666"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377776501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378866301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378872101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378869701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378564401",
            "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 28, 2018; 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.