Theodora Kulesza-Galvez MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THEODORA KULESZA-GALVEZ MD PA

Doing business as

Galvez Family Medicine

Practice address

5414 Fredericksburg Rd Ste 260
San Antonio, TX 78229-3763

Phone

(210) 452-2669

NPI assigned

Mar 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Theodora Kulesza-Galvez, MDNPI 1013323450

Title

Family Medicine Physician

Phone

(210) 452-2669

Specialties & licenses 1

Addresses

Other names 1

• Galvez Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23813/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Theodora Kulesza-Galvez, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1013323450
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1669059507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 FREDERICKSBURG RD",
            "address_2": "STE 260 BLDG B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293763",
            "telephone_number": "726-600-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 FREDERICKSBURG RD STE 260",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293763",
            "telephone_number": "210-452-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORA KULESZA-GALVEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "KULESZA-GALVEZ",
        "authorized_official_first_name": "THEODORA",
        "authorized_official_title_or_position": "FAMILY MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "210-452-2669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galvez Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Galvez Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.