Edge-MD Pleasanton, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N0318 Issued in TX

Legal business name

EDGE-MD PLEASANTON, PLLC

Practice address

803 SW Military Dr
Suite 132
San Antonio, TX 78221-1528

Phone

(210) 923-2337

Fax

(210) 923-3090

NPI assigned

Apr 17, 2015

Last updated

Apr 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan P Nguyen, MDNPI 1821256942

Title

Owner

Phone

(979) 532-2000

Specialties & licenses 1

Addresses

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.

• Nathan Phuckhac Nguyen, M.D,

  • Family Medicine Physician
  • Wharton, TX
  • NPI 1821256942
  Authorized official Same address or phone

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1336536267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 SW MILITARY DR",
            "address_2": "SUITE 132",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211528",
            "telephone_number": "210-923-2337",
            "fax_number": "210-923-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 SW MILITARY DR",
            "address_2": "SUITE 132",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211528",
            "telephone_number": "210-923-2337",
            "fax_number": "210-923-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE-MD PLEASANTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-532-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Edemuzor
• Eder Home Care, LLC
• Edgar Martinez (Medical Reliance Ambulance Service)
• James Edgar, LCSW
• Edge Medical Solutions, Inc (Edge Medical Services)
• Edge-MD White, PLLC
• Edge-MD Zarzamora, PLLC
• Jennifer Ann Edgecombe, APRN FNP-BC, FNP-C,
• Kevin Edgerron, LMT
• Edgewood Isd

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.