Active NPI
MGM Healthcare LLC
- Family Nurse Practitioner
- Schertz, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MGM HEALTHCARE LLC
- Practice address
- 1205 Antler Dr
Schertz, TX 78154-1107 - Phone
- (210) 906-0374
- NPI assigned
- Apr 21, 2022
- Last updated
- Oct 31, 2022
- 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
- Veronica Cardenas
- Title
- Owner
- Phone
- (213) 259-3559
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1205 Antler Dr
Schertz, TX 78154-1107
Mailing address
1205 Antler Dr
Schertz, TX 78154-1107
Other practice location 1
930 Roy Richard Dr
Schertz, TX 78154-1050
Phone (210) 566-9100
Other practice location 2
3301 Roy Richard Dr
Schertz, TX 78154-2704
Phone (210) 658-6338
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, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Lockhart, TX
- NPI 1689957599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667174400000",
"number": "1497499966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 ANTLER DR",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781541107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 ANTLER DR",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781541107",
"telephone_number": "210-906-0374"
}
],
"practiceLocations": [
{
"address_1": "930 Roy Richard Dr",
"address_purpose": "LOCATION",
"city": "Schertz",
"state": "TX",
"postal_code": "781541050",
"country_code": "US",
"telephone_number": "210-566-9100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3301 Roy Richard Dr",
"address_purpose": "LOCATION",
"city": "Schertz",
"state": "TX",
"postal_code": "781542704",
"country_code": "US",
"telephone_number": "210-658-6338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MGM HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-21",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A",
"authorized_official_last_name": "CARDENAS",
"authorized_official_first_name": "VERONICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "213-259-3559"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schertz, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.