Organization Active NPI

Mac Medical & Aesthetics Co.

  • Medical Specialty Clinic/Center
  • New Braunfels, TX
National Provider Identifier
1609618628
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MAC MEDICAL & AESTHETICS CO.
Practice address
2146 Flintshire Dr
New Braunfels, TX 78130-5066
Phone
(210) 901-8197
NPI assigned
Jun 10, 2024
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Teresa Leslie McClinton, DNP
Title
Owner/Nurse Practitioner
Phone
(210) 901-8197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2146 Flintshire Dr
New Braunfels, TX 78130-5066

Mailing address

PO Box 311235
New Braunfels, TX 78131-1235
Phone (210) 901-8197

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1609618628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311235",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781311235",
            "telephone_number": "210-901-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 FLINTSHIRE DR",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781305066",
            "telephone_number": "210-901-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC MEDICAL & AESTHETICS CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "MCCLINTON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "210-901-8197",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.