Organization Active NPI

Lone Star Primary Care and Aesthetics

  • Primary Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1306967658
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LONE STAR PRIMARY CARE AND AESTHETICS
Practice address
3619 Paesanos Parkway
Suite 206
San Antonio, TX 78231-1255
Phone
(210) 298-7827
Fax
(210) 298-7888
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Dr. Jennefer C Sutton, M.D.NPI 1790776276
Title
Physician Partner
Phone
(210) 298-7827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3619 Paesanos Parkway
Suite 206
San Antonio, TX 78231-1255

Mailing address

3619 Paesanos Parkway
Suite 206
San Antonio, TX 78231-1255
Phone (210) 298-7827

National Provider Directory

National Provider Directory

Locations

3619 Paesanos Pkwy
Ste 206
San Antonio, TX 78231
Phone (210) 298-7827

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1306967658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 PAESANOS PARKWAY",
            "address_2": "SUITE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311255",
            "telephone_number": "210-298-7827",
            "fax_number": "210-298-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 PAESANOS PARKWAY",
            "address_2": "SUITE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311255",
            "telephone_number": "210-298-7827",
            "fax_number": "210-298-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR PRIMARY CARE AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "JENNEFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "210-298-7827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 Oct 26, 2007; 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.