Organization Active NPI

Valley Clinic

  • Primary Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1669801254
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G6036 Issued in TX
Legal business name
VALLEY CLINIC
Practice address
6430 Bandera Rd
Suite 98
San Antonio, TX 78238-1500
Phone
(210) 520-4461
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Dr. Gerado Vazquez, M.D.
Title
Owner
Phone
(210) 520-4461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G6036 TX Primary

Addresses

Primary practice location

6430 Bandera Rd
Suite 98
San Antonio, TX 78238-1500

Mailing address

6430 Bandera Rd
Suite 98
San Antonio, TX 78238-1500
Phone (210) 520-4461

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1669801254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 BANDERA RD",
            "address_2": "SUITE 98",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381500",
            "telephone_number": "210-520-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 BANDERA RD",
            "address_2": "SUITE 98",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381500",
            "telephone_number": "210-520-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "GERADO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-520-4461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "G6036",
            "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 Nov 5, 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.