Active NPI
Centric Physicians Gulf Region PLLC
Doing business as Centric Physicians
- Geriatric Medicine (Family Medicine) Physician
- Boerne, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- CENTRIC PHYSICIANS GULF REGION PLLC
- Doing business as
- Centric Physicians
- Practice address
- 113 Pleasant Valley Dr Ste 210
Boerne, TX 78006-5683 - Phone
- (830) 267-4575
- Fax
- (830) 267-4575
- NPI assigned
- May 19, 2017
- Last updated
- Nov 22, 2022
- 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
- Laura Givens
- Title
- Authorized Official
- Phone
- (830) 267-4575
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | NU | Primary |
Addresses
Primary practice location
113 Pleasant Valley Dr Ste 210
Boerne, TX 78006-5683
Mailing address
113 Pleasant Valley Dr Ste 210
Boerne, TX 78006-5683
Phone (830) 267-4575
Other names 1
- Centric Physicians
National Provider Directory
National Provider DirectoryLocations
3030 Fig St
#O
Corpus Christi, TX 78404
Phone (361) 888-5619
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Boerne, TX
- NPI 1902957046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669075200000",
"number": "1619404795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 PLEASANT VALLEY DR STE 210",
"city": "BOERNE",
"state": "TX",
"postal_code": "780065683",
"telephone_number": "830-267-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 PLEASANT VALLEY DR STE 210",
"city": "BOERNE",
"state": "TX",
"postal_code": "780065683",
"telephone_number": "830-267-4575",
"fax_number": "830-267-4575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRIC PHYSICIANS GULF REGION PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-19",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A",
"authorized_official_last_name": "GIVENS",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "830-267-4575"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Centric Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.