Active NPI
Davies Recovery,LLC
- Emergency Medicine Physician
- San Antonio, TX
National Provider Identifier
1568062297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- DAVIES RECOVERY,LLC
- Practice address
- 9503 Middlex Dr
San Antonio, TX 78217-5915 - Phone
- (210) 440-0733
- NPI assigned
- Oct 30, 2020
- 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
- Mrs. Rebecca Fritz, PHYSICIAN ASSISTANT
- Title
- Physician Assistant
- Phone
- (210) 440-0733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
9503 Middlex Dr
San Antonio, TX 78217-5915
Mailing address
9503 Middlex Dr
San Antonio, TX 78217-5915
Phone (210) 440-0733
Other practice location 1
520 Shiloh Dr
Laredo, TX 78045-6710
Phone (210) 440-0733
Other practice location 2
903 Austin Hwy
San Antonio, TX 78209-4727
Phone (210) 440-0733
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K9029 | Other | TX | PHYSICIAN LICENSE |
| PA10965 | Other | TX | LICENSE |
Other names 1
- Davies MedClinic
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Testing@daviesmedclinic.com | ||
| Direct Messaging Address | testing@daviesmedclinic.com | ||
| Direct Messaging Address | testing@daviesmedclinic.com |
National Provider Directory
National Provider DirectoryLocations
520 Shiloh Dr
Laredo, TX 78045
Phone (210) 440-0733
9503 Middlex Dr
San Antonio, TX 78217
Phone (210) 440-0733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604102400000",
"number": "1568062297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9503 MIDDLEX DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175915",
"telephone_number": "210-440-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9503 MIDDLEX DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175915",
"telephone_number": "210-440-0733"
}
],
"practiceLocations": [
{
"address_1": "520 Shiloh Dr",
"address_purpose": "LOCATION",
"city": "Laredo",
"state": "TX",
"postal_code": "780456710",
"country_code": "US",
"telephone_number": "210-440-0733",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "903 Austin Hwy",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782094727",
"country_code": "US",
"telephone_number": "210-440-0733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DAVIES RECOVERY,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-31",
"certification_date": "2020-10-31",
"status": "A",
"authorized_official_last_name": "FRITZ",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "210-440-0733",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHYSICIAN ASSISTANT"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "K9029",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA10965",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Testing@daviesmedclinic.com",
"affiliation": "N",
"address_1": "9503 Middlex Dr",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782175915",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "testing@daviesmedclinic.com",
"affiliation": "N",
"address_1": "903 Austin Hwy",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782094727",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "testing@daviesmedclinic.com",
"affiliation": "N",
"address_1": "520 Shiloh Dr",
"city": "Laredo",
"state": "TX",
"country_code": "US",
"postal_code": "780456710",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Davies MedClinic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.