Organization Active NPI

Maria D. Ponse, D.O., P.a

  • Family Medicine Physician
  • Poth, TX
National Provider Identifier
1336356377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7595 Issued in TX
Legal business name
MARIA D. PONSE, D.O., P.A
Practice address
117 Dilworth Plaza
Poth, TX 78147
Phone
(830) 484-0045
Fax
(830) 484-0029
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria D Ponse, D.O.
Title
President
Phone
(830) 484-0045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7595 TX Primary

Addresses

Primary practice location

117 Dilworth Plaza
Poth, TX 78147

Mailing address

117 Dilworth Plaza
Poth, TX 78147
Phone (830) 484-0045

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336356377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 DILWORTH PLAZA",
            "city": "POTH",
            "state": "TX",
            "postal_code": "78147",
            "telephone_number": "830-484-0045",
            "fax_number": "830-484-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 DILWORTH PLAZA",
            "city": "POTH",
            "state": "TX",
            "postal_code": "78147",
            "telephone_number": "830-484-0045",
            "fax_number": "830-484-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA D. PONSE, D.O., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PONSE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-484-0045",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.