Organization Active NPI

Alamo City Medical Group

  • Clinic/Center
  • San Antonio, TX
National Provider Identifier
1669597365
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
204219 Issued in TX
Legal business name
ALAMO CITY MEDICAL GROUP
Practice address
3453 N Panam Expy
Suite 207B
San Antonio, TX 78219-2333
Phone
(210) 587-4606
Fax
(210) 298-2658
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas Lee Jones, C.O.T.A.
Title
Staff Therapist Testing Center
Phone
(210) 587-4606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 204219 TX Primary

Addresses

Primary practice location

3453 N Panam Expy
Suite 207B
San Antonio, TX 78219-2333

Mailing address

3453 N Panam Expy
Suite 207B
San Antonio, TX 78219-2333
Phone (210) 587-4606

National Provider Directory

National Provider Directory
Tax ID family
Alamo City Medical Group PL3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3453 N Panam Expy
Ste 207B
San Antonio, TX 78219
Phone (210) 227-8080

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669597365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 N PANAM EXPY",
            "address_2": "SUITE 207B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782192333",
            "telephone_number": "210-587-4606",
            "fax_number": "210-298-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 N PANAM EXPY",
            "address_2": "SUITE 207B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782192333",
            "telephone_number": "210-587-4606",
            "fax_number": "210-298-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO CITY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "STAFF THERAPIST TESTING CENTER",
        "authorized_official_telephone_number": "210-587-4606",
        "authorized_official_credential": "C.O.T.A."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "204219",
            "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 Aug 22, 2020; 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.