Deerwood Family Practice, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEERWOOD FAMILY PRACTICE, PLLC

Practice address

4358 Lockhill Selma Rd Ste 110
San Antonio, TX 78249

Phone

(210) 492-4300

Fax

(210) 492-4380

NPI assigned

Mar 8, 2010

Organization subpart

No

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

Authorized official

Name

Denise Garza

Title

Billing Manager

Phone

(210) 595-6696

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Hermien Clyburn, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1588223861
  Medicare reassignment Care Compare group NPD
• Emily J Galvan, FNP

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1538867569
  Medicare reassignment Care Compare group NPD
• Shawn Maliece Mollica, PA-C

  • Physician Assistant
  • San Antonio, TX
  • NPI 1811988157
  Medicare reassignment Care Compare group
• Anny Patricia Gonzalez, PA

  • Physician Assistant
  • San Antonio, TX
  • NPI 1770864134
  Medicare reassignment
• McKenzie Knapick, PA

  • Physician Assistant
  • San Antonio, TX
  • NPI 1366194920
  Medicare reassignment

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1699098400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 LOCKHILL SELMA RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494167",
            "telephone_number": "210-492-4300",
            "fax_number": "210-492-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4358 LOCKHILL SELMA RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78249",
            "telephone_number": "210-492-4300",
            "fax_number": "210-492-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERWOOD FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "210-595-6696"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deer Oaks Minnesota LLC
• Deer Oaks Southeast LLC
• Deerfield Dental
• Deerfield Healthcare, LLC
• Shad Deering, M.D.
• Alys Deese
• Shawna Mohney Deeves, M.D.
• Erica Grace Defee
• Mary Ellen Deffenbaugh, OTR
• Definitive Residential Care, LLC

• 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 Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.