Organization Active NPI

Diabetic Foot Ulcer Prevention Strategies, Inc

  • Clinical Medical Laboratory
  • Shavano Park, TX
National Provider Identifier
1710333737
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.