Aegis Medcare, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

H1945 Issued in TX

Legal business name

AEGIS MEDCARE, LLC

Practice address

520 Camden St
Suite B
San Antonio, TX 78215-1924

Phone

(210) 884-6047

Fax

(210) 499-0615

NPI assigned

Feb 23, 2012

Last updated

Feb 23, 2012By 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

Mr. Roderick A Potts

Title

Administrator

Phone

(210) 884-6047

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1487927380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 CAMDEN ST",
            "address_2": "SUITE B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151924",
            "telephone_number": "210-884-6047",
            "fax_number": "210-499-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 CAMDEN ST",
            "address_2": "SUITE B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151924",
            "telephone_number": "210-884-6047",
            "fax_number": "210-499-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS MEDCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-884-6047",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H1945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.