Active NPI
Medical Center South Texas Center for Pediatric Care
- Pediatrics Physician
- San Antonio, TX
National Provider Identifier
1699843938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MEDICAL CENTER SOUTH TEXAS CENTER FOR PEDIATRIC CARE
- Practice address
- 2833 Babcock Rd
Suite 300
San Antonio, TX 78229-5390 - Phone
- (210) 576-0533
- Fax
- (210) 226-4676
- NPI assigned
- Dec 4, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa M Daluz
- Title
- Credentialing Manager
- Phone
- (210) 576-0533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
2833 Babcock Rd
Suite 300
San Antonio, TX 78229-5390
Mailing address
1954 E Houston St
Suite 104
San Antonio, TX 78202-2951
Phone (210) 576-0533
National Provider Directory
National Provider Directory- Tax ID family
- Medical Center South Texas Center for Pediatric Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1164472189
Locations
2833 Babcock Rd
Ste 300
San Antonio, TX 78229
Phone (210) 576-0533
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1467456715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699843938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1954 E HOUSTON ST",
"address_2": "SUITE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782022951",
"telephone_number": "210-576-0533",
"fax_number": "210-226-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2833 BABCOCK RD",
"address_2": "SUITE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295390",
"telephone_number": "210-576-0533",
"fax_number": "210-226-4676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CENTER SOUTH TEXAS CENTER FOR PEDIATRIC CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DALUZ",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "210-576-0533"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- Medical Center Pediatrics
- Medical Center Pharmacy, LTD.Co (Medical Center Pharmacy-Stone Oak)
- Medical Center Physical Therapy, Inc.
- Medical Center Podiatry, PLLC
- Medical Center South Texas Center for Pediatric Care
- Medical Centers of Texas
- Medical Interest, Inc.
- Medical Personnel Pool
- Medical Plus Supplies, Inc.
- Medical Research Assoc, Inc
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.