Lymphedema Medical Center, LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

LYMPHEDEMA MEDICAL CENTER, LLC

Practice address

5410 Fredericksburg Rd Ste 102
San Antonio, TX 78229-3550

Phone

(210) 702-3401

NPI assigned

Jan 7, 2016

Organization subpart

No

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

Authorized official

Name

Bonnie Gomez

Title

Owner

Phone

(210) 702-3401

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1477919389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 FREDERICKSBURG RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293550",
            "telephone_number": "210-702-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 FREDERICKSBURG RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293550",
            "telephone_number": "210-702-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-702-3401"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Lynn Lyles, DMD
• Keith Arnez Lyles, LCDC
• Rachel N Lyles, LPC
• Chad Boyce Lyman, PA
• Lymphedema Clinix Texas LLC
• Lymphedemamd of America LLC
• Shauna Lyn, M.D.
• Bethany Lynch, RDMS
• Chasity Lynch, FNP
• Jamie Lynn Lynch, M.D.

• Occupational Medicine Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Occupational Medicine Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.