San Antonio Advanced Medical Group PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G7947 Issued in TX

Legal business name

SAN ANTONIO ADVANCED MEDICAL GROUP PA

Doing business as

Advanced Medical Group

Practice address

134 Menger SPGS
Suite 1210
Boerne, TX 78006-7218

Phone

(210) 698-9841

Fax

(210) 698-9863

NPI assigned

Oct 18, 2007

Last updated

Jan 26, 2013By 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

Rachel A Sanchez

Title

Practice Manager

Phone

(210) 698-9841

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Medical Group Doing business as

Locations

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359158400000",
    "number": "1366631020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 IH 10 W",
            "address_2": "SUITE 217, BOX 644",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571159",
            "telephone_number": "210-698-9841",
            "fax_number": "210-698-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MENGER SPGS",
            "address_2": "SUITE 1210",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780067218",
            "telephone_number": "210-698-9841",
            "fax_number": "210-698-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO ADVANCED MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2013-01-26",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "210-698-9841"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G7947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "0088MC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RAILROAD GROUP TIN",
            "identifier": "CS5288",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Sahyouni
• Amanda Saiz, M.S., LBA, BCBA
• Sakdc - Davita Dialysis Partners LP (Boerne Dialysis Center)
• Yesenia Salinas, LCSW
• Brittany Salstrand
• San Antonio Dental Center
• San Antonio Kidney Disease Center Physicians Group, P.L.L.C.
• Clarissa San Juan, OTR
• Sana Vida Wellness Center PLLC
• Juan Sanchez Jr.

• Family Medicine Physician in Boerne, TX
• Providers in Boerne, 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 Jan 26, 2013; 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.