Organization Active NPI

Trinity Family Medicine Clinic

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1659701894
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N1488 Issued in TX
Legal business name
TRINITY FAMILY MEDICINE CLINIC
Practice address
6601 Blanco Rd Ste 100
San Antonio, TX 78216-6103
Phone
(210) 541-0018
Fax
(210) 541-0024
NPI assigned
Nov 26, 2013
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Mrs. Martha Cantu
Title
Biller
Phone
(210) 541-0018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X N1488 TX Primary

Addresses

Primary practice location

6601 Blanco Rd Ste 100
San Antonio, TX 78216-6103

Mailing address

6601 Blanco Rd Ste 100
San Antonio, TX 78216-6103
Phone (210) 541-0018

Other identifiers 1

IdentifierTypeStateIssuer
197917103MedicaidTX

National Provider Directory

National Provider Directory

Locations

6601 Blanco Rd
Ste 100
San Antonio, TX 78216
Phone (210) 541-0018

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.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1659701894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 BLANCO RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166103",
            "telephone_number": "210-541-0018",
            "fax_number": "210-541-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 BLANCO RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166103",
            "telephone_number": "210-541-0018",
            "fax_number": "210-541-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY FAMILY MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "210-541-0018",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197917103",
            "state": "TX"
        }
    ],
    "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 Nov 26, 2013; 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.