Encino Park Family Health & Wellness Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ENCINO PARK FAMILY HEALTH & WELLNESS CLINIC

Practice address

13423 Blanco Rd # 8046
San Antonio, TX 78216-2187

Phone

(210) 568-5816

Fax

(210) 399-4637

NPI assigned

Sep 23, 2019

Organization subpart

No

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

Authorized official

Name

John Leal, FNP-CNPI 1356762405

Title

Owner

Phone

(210) 568-5816

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Leal, NP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1356762405
  NPD Authorized official
• Danielle Kay Coulter, M.D.

  • General Practice Physician
  • San Antonio, TX
  • NPI 1396038071
  NPD (past)

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1457902256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53666",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797103666",
            "telephone_number": "210-568-5816",
            "fax_number": "210-399-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13423 BLANCO RD # 8046",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162187",
            "telephone_number": "210-568-5816",
            "fax_number": "210-399-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCINO PARK FAMILY HEALTH & WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "LEAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-568-5816",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Victoria Bach Enciso, C.G.C.
• Encompass Health Rehabilitation Hospital of San Antonio, Inc.
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• Encouraging Counseling and Wellness, LLC
• Endeavor Health & Wellness

• Primary Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Primary Care Clinic/Center in Texas

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