Organization Active NPI

Accord Medical Management, LP

  • Psychiatric Hospital Unit
  • San Antonio, TX
National Provider Identifier
1487616587
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
000396 Issued in TX
Legal business name
ACCORD MEDICAL MANAGEMENT, LP
Practice address
414 Navarro St
21St Floor
San Antonio, TX 78205-2516
Phone
(210) 271-2188
Fax
(210) 271-2023
NPI assigned
Apr 4, 2006
Organization subpart
Yes
Parent organization
ACCORD MEDICAL MANAGEMENT, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Mr. Lester E Surrock, CPA
Title
Senior Vice President & Cfo
Phone
(210) 271-2190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 000396 TX Primary

Addresses

Primary practice location

414 Navarro St
21St Floor
San Antonio, TX 78205-2516

Mailing address

414 Navarro St
Suite 600
San Antonio, TX 78205-2516
Phone (210) 271-2188

Other identifiers 1

IdentifierTypeStateIssuer
HH0167OtherTXBLUE CROSS PROVIDER NO

Other names 1

  • Nix Health Care System Doing business as

National Provider Directory

National Provider Directory
Part of
Accord Medical Management LP

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1487616587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "SUITE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052516",
            "telephone_number": "210-271-2188",
            "fax_number": "210-271-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST",
            "address_2": "21ST FLOOR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052516",
            "telephone_number": "210-271-2188",
            "fax_number": "210-271-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCORD MEDICAL MANAGEMENT, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCORD MEDICAL MANAGEMENT, LP",
        "enumeration_date": "2006-04-04",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SURROCK",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "210-271-2190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "TX",
            "license": "000396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "HH0167",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nix Health Care System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 17, 2018; 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.