Active NPI
Pact-Pediatric Associates at Clock Tower, LLC
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1649346362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E5170
- Legal business name
- PACT-PEDIATRIC ASSOCIATES AT CLOCK TOWER, LLC
- Practice address
- 14811 San Pedro Ave
San Antonio, TX 78232-3708 - Phone
- (210) 494-7758
- Fax
- (210) 494-2353
- NPI assigned
- Nov 27, 2006
- Organization subpart
- Yes
- Parent organization
- PACT-PEDIATRIC ASSOCIATES AT CLOCK TOWER, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Diane A McMains, M.D.
- Title
- Pediatrician Practice Owner
- Phone
- (210) 494-7758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E5170 | TX | Primary |
Addresses
Primary practice location
14811 San Pedro Ave
San Antonio, TX 78232-3708
Mailing address
14811 San Pedro Ave
San Antonio, TX 78232-3708
Phone (210) 494-7758
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092332801 | Medicaid | TX | |
| 092332802 | Medicaid | TX |
Other names 1
- Diane A. McMains, M.D. dba Pediatric Associates at Clock Tower
National Provider Directory
National Provider Directory- Part of
- Pact-Pediatric Associates at Clock Tower LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391385600000",
"number": "1649346362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14811 SAN PEDRO AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323708",
"telephone_number": "210-494-7758",
"fax_number": "210-494-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14811 SAN PEDRO AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323708",
"telephone_number": "210-494-7758",
"fax_number": "210-494-2353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACT-PEDIATRIC ASSOCIATES AT CLOCK TOWER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PACT-PEDIATRIC ASSOCIATES AT CLOCK TOWER, LLC",
"enumeration_date": "2006-11-27",
"last_updated": "2014-02-03",
"status": "A",
"authorized_official_last_name": "MCMAINS",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PEDIATRICIAN PRACTICE OWNER",
"authorized_official_telephone_number": "210-494-7758",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "E5170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092332801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092332802",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Diane A. McMains, M.D. dba Pediatric Associates at Clock Tower",
"code": "5",
"type": "Other Name"
}
]
}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 Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.