Mission City Healthcare, PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

F2412 Issued in TX

Legal business name

MISSION CITY HEALTHCARE, PA

Practice address

815 E Rector St
Suite 105
San Antonio, TX 78216-5931

Phone

(210) 366-9442

NPI assigned

Jul 1, 2014

Last updated

Jul 1, 2014By 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

Zach Syvrud

Title

Manager

Phone

(210) 315-1582

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1417363276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 472561",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750472561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E RECTOR ST",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165931",
            "telephone_number": "210-366-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION CITY HEALTHCARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "SYVRUD",
        "authorized_official_first_name": "ZACH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-315-1582"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12285",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "F2412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Missimer, DO
• Mission Anesthesia, PLLC
• Mission Chiropractic and Injury Clinic, P.a.
• Mission City Chiropractic
• Mission City Counseling
• Mission City Urology, PLLC
• Mission Dermatopathology Laboratory, LLC
• Mission Diagnostics LLC
• Mission Emergency Medicine Services, PA
• Mission Event Senior Center LLC

• General Practice Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.