Dept of Vertans Affairs

Primary specialty

Military HospitalTaxonomy code 286500000X

Legal business name

DEPT OF VERTANS AFFAIRS

Practice address

7400 Merton Minter St
San Antonio, TX 78229-4404

Phone

(210) 617-5300

Fax

(210) 949-3915

NPI assigned

Dec 22, 2010

Last updated

Dec 22, 2010By 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

Mr. Ernest Anthony Gonzales

Title

Orthotic Fitter

Phone

(210) 617-5300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1659675247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "210-617-5300",
            "fax_number": "210-949-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "210-617-5300",
            "fax_number": "210-949-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPT OF VERTANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "ORTHOTIC FITTER",
        "authorized_official_telephone_number": "210-617-5300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dependable Care Transportation Inc
• Dependable Med Transport LLC
• Dependable Medex DME
• Christopher Michael Depew
• Dept of Assistive & Rehab Serv - San Antonio Field Headquarters
• Jarred Deptawa, M.A., BCBA, LBA
• Jane Louise Derby, RNC,MSN, CPNP, NNP
• Stephen Derdak, D.O.
• Lindsey Rausch Dereadt, CCC-SLP
• Derek H Elder LPC PLLC

• Military Hospital in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Military Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.