Organization Active NPI

Lone Star Geriatrics, PLLC

  • Multi-Specialty Clinic/Center
  • San Antonio, TX
National Provider Identifier
1396259198
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LONE STAR GERIATRICS, PLLC
Practice address
140 Heimer Rd
San Antonio, TX 78232-5028
Phone
(210) 336-4070
NPI assigned
Dec 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Authorized official

Name
Walter Walthall, MD
Title
Managing Member
Phone
(210) 336-4070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

140 Heimer Rd
San Antonio, TX 78232-5028

Mailing address

140 Heimer Rd
San Antonio, TX 78232-5028
Phone (210) 336-4070

National Provider Directory

National Provider Directory

Locations

140 Heimer Rd
San Antonio, TX 78232
Phone (210) 336-4070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17425/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1396259198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HEIMER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325028",
            "telephone_number": "210-336-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HEIMER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325028",
            "telephone_number": "210-336-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR GERIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "WALTHALL",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "210-336-4070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Dec 1, 2017; 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.