Organization Active NPI

Nix Physicians Inc.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1316401250
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NIX PHYSICIANS INC.
Practice address
5307 Broadway St Ste 130
San Antonio, TX 78209-5724
Phone
(210) 579-3624
Fax
(210) 579-3789
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Ellen Shin
Title
General Legal Counsel
Phone
(310) 943-4500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

5307 Broadway St Ste 130
San Antonio, TX 78209-5724

Mailing address

414 Navarro St Ste 1401
San Antonio, TX 78205-2534
Phone (210) 579-3520

National Provider Directory

National Provider Directory

Locations

414 Navarro St
Ste 1401
San Antonio, TX 78205
Phone (210) 587-8120

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1316401250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST STE 1401",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052534",
            "telephone_number": "210-579-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 BROADWAY ST STE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095724",
            "telephone_number": "210-579-3624",
            "fax_number": "210-579-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIX PHYSICIANS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "GENERAL LEGAL COUNSEL",
        "authorized_official_telephone_number": "310-943-4500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 24, 2019; 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.