Organization Active NPI

M&M Spine PLLC

  • Orthopaedic Surgery of the Spine Physician
  • San Antonio, TX
National Provider Identifier
1629908744
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
M&M SPINE PLLC
Practice address
5330 N Loop 1604 W Ste 101
San Antonio, TX 78249-4384
Phone
(512) 476-2830
NPI assigned
May 20, 2026
Last updated
Jun 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Mrs. Carol Ermis
Title
RCM
Phone
(512) 476-2830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X NU Primary

Addresses

Primary practice location

5330 N Loop 1604 W Ste 101
San Antonio, TX 78249-4384

Mailing address

4611 Guadalupe St Ste 200
Austin, TX 78751-2928

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1629908744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 GUADALUPE ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 N LOOP 1604 W STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494384",
            "telephone_number": "512-476-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "ERMIS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "512-476-2830",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 22, 2026; 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.