NPIMap

Organization Active NPI

Integrative Medical Clinics Inc

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1316068273
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F006064 Issued in TX
Legal business name
INTEGRATIVE MEDICAL CLINICS INC
Practice address
8228 Bandera Rd
San Antonio, TX 78250-5134
Phone
(210) 681-8200
Fax
(210) 521-0048
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Robert Randolph SchultzNPI 1083923122
Title
Ceo/President
Phone
(210) 521-7942

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F006064 TX Primary

Addresses

Primary practice location

8228 Bandera Rd
San Antonio, TX 78250-5134

Mailing address

8228 Bandera Rd
San Antonio, TX 78250-5134
Phone (210) 681-8200

Other identifiers 1

IdentifierTypeStateIssuer
079819101MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1316068273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8228 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505134",
            "telephone_number": "210-681-8200",
            "fax_number": "210-521-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8228 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782505134",
            "telephone_number": "210-681-8200",
            "fax_number": "210-521-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "210-521-7942"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "F006064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079819101",
            "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 Feb 1, 2012; 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.