Active NPI
J R Holcomb MD PA
- Pulmonary Disease Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- E4159
- Legal business name
- J R HOLCOMB MD PA
- Practice address
- 4410 Medical Dr Ste 360
San Antonio, TX 78229-3749 - Phone
- (210) 614-2100
- Fax
- (210) 692-1999
- NPI assigned
- Oct 30, 2007
- Last updated
- Jul 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Claire Clark
- Title
- Credentialing
- Phone
- (210) 614-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | E4159 | TX | Primary |
Addresses
Primary practice location
4410 Medical Dr Ste 360
San Antonio, TX 78229-3749
Mailing address
4410 Medical Dr Ste 360
San Antonio, TX 78229-3749
Phone (210) 614-2100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN3722 | Other | TX | RAILROAD MEDICARE |
| 201540601 | Medicaid | TX | |
| 0054RF | Other | TX | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
1110 N Sarah Dewitt Dr
#A
Gonzales, TX 78629
4242 Medical Dr
Ste 7275
San Antonio, TX 78229
Phone (210) 614-7474
4410 Medical Dr
Ste 360
San Antonio, TX 78229
Phone (210) 614-2100
8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- San Antonio, TX
- NPI 1104521996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564012800000",
"number": "1467631135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 MEDICAL DR STE 360",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293749",
"telephone_number": "210-614-2100",
"fax_number": "210-692-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 MEDICAL DR STE 360",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293749",
"telephone_number": "210-614-2100",
"fax_number": "210-692-1999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J R HOLCOMB MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-30",
"last_updated": "2019-07-25",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "CLAIRE",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "210-614-2100"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "E4159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DN3722",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201540601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0054RF",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- J and P Jones Proprietors LLC (Homewatch CareGivers of North San Antonio)
- J Eric Stupka MD PA
- J H Higuchi M.D. P.a.
- J Lin Joyner DC PC
- J Person Inc Dba Living Word Home Care Service
- J Winston Consulting LLC
- J-a North San Antonio Operations, LP (Sonterra Health Center)
- J. Andrew Jackson, D.D.S. LTD., LLP
- J. H. Luna, M.D.,P.a
- J. Keith Wright, M.D., P. a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.