Active NPI
Diabetic Foot Ulcer Prevention Strategies, Inc
- Clinical Medical Laboratory
- Shavano Park, TX
National Provider Identifier
1710333737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- DIABETIC FOOT ULCER PREVENTION STRATEGIES, INC
- Practice address
- 13620 NW Military Hwy
Ste 203-1
Shavano Park, TX 78231-1875 - Phone
- (210) 462-6211
- NPI assigned
- May 9, 2016
- Last updated
- May 17, 2016
- 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
- Antonio Davila
- Title
- Administrator
- Phone
- (210) 462-6211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
13620 NW Military Hwy
Ste 203-1
Shavano Park, TX 78231-1875
Mailing address
13620 NW Military Hwy
Ste 203-1
Shavano Park, TX 78231-1875
National Provider Directory
National Provider DirectoryLocations
13620 NW Military Hwy
Ste 2031
Shavano Park, TX 78231
Phone (210) 462-6211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463443200000",
"number": "1710333737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13620 NW MILITARY HWY",
"address_2": "STE 203-1",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782311875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13620 NW MILITARY HWY",
"address_2": "STE 203-1",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782311875",
"telephone_number": "210-462-6211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIABETIC FOOT ULCER PREVENTION STRATEGIES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-09",
"last_updated": "2016-05-17",
"status": "A",
"authorized_official_last_name": "DAVILA",
"authorized_official_first_name": "ANTONIO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "210-462-6211"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shavano Park, TX
- Kimberlee Kay Daughtry-Lopez, L.P.C.
- David Gonzalez,M.D.,PLLC
- David S Levey MD PA
- Yadira Milagro Del Toro, PT, DPT
- Diabetes and Metabolism Specialists
- Dianne Dental PLLC (Park Hill Dental)
- Diaz Hospitalist Group PLLC
- Carlos Javier Diaz Velez, MD
- Carmen E Diaz, LPC
- Easy River Counseling and Wellness PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.