Legacy Heart Care of San Antonio
Organization Active NPI Cardiovascular Disease Physician · Live Oak, TX
NPI 1316617426 · NPPES record last updated Sep 29, 2025
Key facts
- NPI
- 1316617426
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- LEGACY HEART CARE OF SAN ANTONIO
- Practice address
- 12702 Toepperwein Rd Ste 123
Live Oak, TX 78233-3278 - Phone
- (210) 934-4100
- NPI assigned
- Sep 20, 2021
- Organization subpart
- No
Authorized official
- Name
- Michael Gratch
- Title
- President
- Phone
- (817) 423-4400
Other NPIs on the same Medicare enrollment 1
Practitioners 69
-
Susie Kim Ahn, FNP
-
Manjusha Anna, M.D
-
Arlene Hinojosa Brazell, AGACNP-BC
-
Moises Bucay, MD
-
Jessica Beth Buie, FNP
-
John Fierros Canales, M.D.
-
Scott David Carlsen, AGANP-BC
-
Mark F Colligan, MD
-
Mary Rossby Concepcion Uy, FNP-C
-
Kathlean Cooley-Ponds, ACNS-BC
-
Aaron Daniel Curry, FNP-BC
-
Juanita Dauya, PHD, NP-C
-
Jude V Espinoza, MD
-
Valarian Flores, FNP-C
-
Manuel M Garcia, MD
-
Nhi Graves, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140818002280 | TX | Part B Supplier - Clinic/Group Practice | 9830316645 |
Receives reassigned benefits from 72 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Live Oak, TX; San Antonio, TX |
National Provider Directory
Locations
12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
12702 Toepperwein Rd Ste 123
Live Oak, TX 78233-3278
Mailing address
2500 West Fwy Ste 200
Fort Worth, TX 76102-5851
Phone (817) 423-4400
Other names
- Flow Therapy Live Oak
- Flow Therapy San Antonio
Other providers in Live Oak, TX
- Michael R. Langlois
- Jennifer Lankford
- Cynthia Leboeuf
- Christiann Trinette Ledford
- Janeth Lee
- John Leonard
- Michael Levi
- Angelica Lightfoot
- Justin Linam
- David Liu
All providers in Live Oak, TX · Cardiovascular Disease Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.