Active NPI
Collin Rader PA PLLC
- General Practice Physician
- San Antonio, TX
National Provider Identifier
1497447072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- COLLIN RADER PA PLLC
- Practice address
- 17910 Bulverde Rd Ste 115
San Antonio, TX 78259-3762 - Phone
- (210) 906-8478
- NPI assigned
- May 23, 2023
- 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
- Dr. Collin Rader, DO
- Title
- Owner
- Phone
- (210) 441-2661
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
17910 Bulverde Rd Ste 115
San Antonio, TX 78259-3762
Mailing address
2327 N Shady St
Visalia, CA 93291-3932
Phone (210) 441-2661
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- San Antonio, TX
- NPI 1831369222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684800000000",
"number": "1497447072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2327 N SHADY ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932913932",
"telephone_number": "210-441-2661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17910 BULVERDE RD STE 115",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782593762",
"telephone_number": "210-906-8478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLIN RADER PA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A",
"authorized_official_last_name": "RADER",
"authorized_official_first_name": "COLLIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-441-2661",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.