Mid Texas Infectious Diseases Consultants PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

K2151 Issued in TX

Legal business name

MID TEXAS INFECTIOUS DISEASES CONSULTANTS PA

Practice address

8715 Village Dr Ste 116
San Antonio, TX 78217-5407

Phone

(210) 215-2751

NPI assigned

Nov 20, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter John Dewitt

Title

Office Manager

Phone

(210) 844-1687

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1609380146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 AYLESBURY HILL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095442",
            "telephone_number": "210-844-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR STE 116",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175407",
            "telephone_number": "210-215-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID TEXAS INFECTIOUS DISEASES CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-844-1687"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "K2151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Mickelsen, LPC, LCDC
• Benjamin J Mickens
• Jenna Mickey, PT, DPT
• Rebecca Naomi Mickle
• Microtia Congenital Ear Institute
• Michael R. Middlebrook, M.D.
• Joseph Aloysius Middleton
• Lois Jean Middleton
• George Stephen Midla, PA-C
• Angel E Mier Hicks, M.D.

• Infectious Disease Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.