Espada Physicians Group PLLC

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

ESPADA PHYSICIANS GROUP PLLC

Practice address

27638 Interstate 10 W
Boerne, TX 78006

Phone

(979) 500-3008

Fax

(979) 481-5120

NPI assigned

Feb 13, 2024

Last updated

Sep 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Israel J Tellez Flores, MDNPI 1942527015

Title

Managing Member

Phone

(979) 500-3008

Specialties & licenses 1

Addresses

Locations

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.

• Israel Juan Enrique Tellez Flores, M.D.

  • Emergency Medicine Physician
  • Laredo, TX
  • NPI 1942527015
  NPD (past) Authorized official

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726876800000",
    "number": "1659135200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27638 INTERSTATE 10 W",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "979-500-3008",
            "fax_number": "979-481-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27638 INTERSTATE 10 W",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "979-500-3008",
            "fax_number": "979-481-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPADA PHYSICIANS GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A",
        "authorized_official_last_name": "TELLEZ FLORES",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "979-500-3008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nneka Chinenye Enwereuzoh, MD
• Stacey Ernst
• Andrea Jamileth Escarcega, RBT
• Ana Maria Escobar-Botero, M.D.
• Carolina Escobedo, PTA
• Eye Country, PLLC (Boerne Vision Center)
• Fair Oaks Emergency Room LLC
• Justin Fakta
• Family Changes Play Therapy, PLLC
• Kristen Hahn Fanning, SLP

• Emergency Medical Services (Emergency Medicine) Physician in Boerne, TX
• Providers in Boerne, TX by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.