Active NPI
West Kirk Medical Practice, PA
- Primary Care Clinic/Center
- San Antonio, TX
National Provider Identifier
1508054842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- E7516
- Legal business name
- WEST KIRK MEDICAL PRACTICE, PA
- Practice address
- 711 Kirk PL
San Antonio, TX 78226-1416 - Phone
- (210) 227-9408
- NPI assigned
- Oct 11, 2007
- 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
- Leonel Tano
- Title
- M.D.
- Phone
- (210) 227-9408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | E7516 | TX | Primary |
Addresses
Primary practice location
711 Kirk PL
San Antonio, TX 78226-1416
Mailing address
711 Kirk PL
San Antonio, TX 78226-1416
Phone (210) 227-9408
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168296501 | Medicaid | TX | |
| 112094102 | Medicaid | TX | |
| 5903 | Other | TX | AETNA |
| 112094104 | Medicaid | TX | |
| 112094101 | Medicaid | TX | |
| 8K1570 | Other | TX | BCBS |
| 112094103 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
711 Kirk Pl
San Antonio, TX 78226
Phone (210) 227-9408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410825600000",
"number": "1508054842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 KIRK PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782261416",
"telephone_number": "210-227-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 KIRK PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782261416",
"telephone_number": "210-227-9408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST KIRK MEDICAL PRACTICE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-11",
"last_updated": "2014-09-16",
"status": "A",
"authorized_official_last_name": "TANO",
"authorized_official_first_name": "LEONEL",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "210-227-9408"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": "E7516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168296501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112094102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5903",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112094104",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112094101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8K1570",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112094103",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Margaret E Wesner, PSYD, LPC, LCDC, RN
- Morgan Paige Wesner, APRN, AGACNP-BC
- Judith Elaine Wessely, MSN,RN,CNS
- West Avenue Dental Partners PLLC
- West Culebra Dental PLLC
- West Lake RX LLC
- West Prestige Emergency Room, LLC
- West Side Primary Home Care Inc
- West Texas Assist LLC
- West Texas Surgical Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.