Active NPI
Tina H Boylston, M.D.
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1508860313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L5995
- Practice address
- 5282 Medical Dr
Ste 310
San Antonio, TX 78229-6044 - Phone
- (210) 614-8687
- Fax
- (210) 614-7529
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L5995 | TX | Primary |
Addresses
Primary practice location
5282 Medical Dr
Ste 310
San Antonio, TX 78229-6044
Mailing address
5282 Medical Dr
Ste 310
San Antonio, TX 78229-6044
Phone (210) 614-8687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8P1550 | Other | TX | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Pediatrics | Past | Accepting new patients |
| Southwest Childrens Center, PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
- Specialist
- San Antonio, TX
- NPI 1285638130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1508860313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5282 MEDICAL DR",
"address_2": "STE 310",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296044",
"telephone_number": "210-614-8687",
"fax_number": "210-614-7529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5282 MEDICAL DR",
"address_2": "STE 310",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296044",
"telephone_number": "210-614-8687",
"fax_number": "210-614-7529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLSTON",
"first_name": "TINA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L5995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8P1550",
"state": "TX"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.