Organization Active NPI

Davies Recovery,LLC

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1568062297
Registry record updated Oct 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
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

Updated by the provider on Oct 31, 2020

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)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
K9029OtherTXPHYSICIAN LICENSE
PA10965OtherTXLICENSE

Other names 1

  • Davies MedClinic Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Testing@daviesmedclinic.com
Direct Messaging Address testing@daviesmedclinic.com
Direct Messaging Address testing@daviesmedclinic.com

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.