NPIMap

Organization Active NPI

San Antonio Reproductive Associates PLLC

  • Reproductive Endocrinology Physician
  • San Antonio, TX
National Provider Identifier
1689085094
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
P0765 Issued in TX
Legal business name
SAN ANTONIO REPRODUCTIVE ASSOCIATES PLLC
Practice address
215 E Quincy St
One Lexington Suite 314
San Antonio, TX 78215-2039
Phone
(432) 580-4500
Fax
(210) 265-5665
NPI assigned
May 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Dr. Mohamed Mitwally, MD, HCLD, FACOG
Title
Medical Director
Phone
(248) 701-4157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X P0765 TX Primary

Addresses

Primary practice location

215 E Quincy St
One Lexington Suite 314
San Antonio, TX 78215-2039

Mailing address

122 Candelaria
Helotes, TX 78023-4711
Phone (248) 701-4157

National Provider Directory

National Provider Directory

Locations

215 E Quincy St
#One
San Antonio, TX 78215
Phone (432) 580-4500

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1689085094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CANDELARIA",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234711",
            "telephone_number": "248-701-4157",
            "fax_number": "210-265-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E QUINCY ST",
            "address_2": "ONE LEXINGTON SUITE 314",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152039",
            "telephone_number": "432-580-4500",
            "fax_number": "210-265-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO REPRODUCTIVE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "MITWALLY",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "248-701-4157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, HCLD, FACOG"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "P0765",
            "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 Sep 4, 2014; 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.