San Antonio Clinical Genetics PA

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

Legal business name

SAN ANTONIO CLINICAL GENETICS PA

Practice address

2632 Broadway St
Suite 104 South
San Antonio, TX 78215-1137

Phone

(210) 255-2027

Fax

(210) 226-0050

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Scott D McLean, M.D.

Title

President/Ceo

Phone

(210) 255-2027

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1679836357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 BROADWAY ST",
            "address_2": "SUITE 104 SOUTH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151137",
            "telephone_number": "210-255-2027",
            "fax_number": "210-226-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 BROADWAY ST",
            "address_2": "SUITE 104 SOUTH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151137",
            "telephone_number": "210-255-2027",
            "fax_number": "210-226-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO CLINICAL GENETICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "210-255-2027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Genetics (M.D.) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Genetics (M.D.) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.