Organization Active NPI

Texas Skin & Vein, PLLC

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1669035408
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
TEXAS SKIN & VEIN, PLLC
Practice address
2241 NW Military Hwy Ste 200
San Antonio, TX 78213-4927
Phone
(210) 907-8346
Fax
(210) 906-8907
NPI assigned
Apr 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Timothy M Straight, MD, PHDNPI 1336139690
Title
Medical Director
Phone
(210) 569-1215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2241 NW Military Hwy Ste 200
San Antonio, TX 78213-4927

Mailing address

2241 NW Military Hwy Ste 200
San Antonio, TX 78213-4927
Phone (210) 907-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200108001885 TX Part B Supplier - Clinic/Group Practice 8628403243 Receives reassigned benefits from 3 practitioners
Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2179344Texas Skin and Vein PLLC2241 NW Military, Suite 200, San Antonio, TX 78213Provider-performed microscopyFeb 19, 2028

National Provider Directory

National Provider Directory

Locations

2241 NW Military Hwy
Ste 200
San Antonio, TX 78213
Phone (210) 907-8346

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1669035408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 NW MILITARY HWY STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134927",
            "telephone_number": "210-907-8346",
            "fax_number": "210-906-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 NW MILITARY HWY STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134927",
            "telephone_number": "210-907-8346",
            "fax_number": "210-906-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS SKIN & VEIN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2023-03-07",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "STRAIGHT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "210-569-1215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.