Active NPI
Drwlc1
- Obesity Medicine (Family Medicine) Physician
- San Antonio, TX
National Provider Identifier
1710364708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Family Medicine) Physician
- License
- L3099
- Legal business name
- DRWLC1
- Practice address
- 5539 N W Loop 1604
Suite 104
San Antonio, TX 78253-1708 - Phone
- (210) 495-2117
- Fax
- (888) 893-4363
- NPI assigned
- Apr 29, 2015
- 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
- Tamyra L Rogers, M.D.
- Title
- Owner
- Phone
- (210) 495-2117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | L3099 | TX | Primary |
Addresses
Primary practice location
5539 N W Loop 1604
Suite 104
San Antonio, TX 78253-1708
Mailing address
2815 N Loop 1604 E
Suite 105
San Antonio, TX 78232-1708
Phone (210) 495-2117
National Provider Directory
National Provider DirectoryLocations
5539 W Loop 1604 N
Ste 104
San Antonio, TX 78253
Phone (210) 495-2117
2815 N Loop 1604 E
Ste 105
San Antonio, TX 78232
Phone (210) 495-2117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430265600000",
"number": "1710364708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2815 N LOOP 1604 E",
"address_2": "SUITE 105",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321708",
"telephone_number": "210-495-2117",
"fax_number": "888-893-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5539 N W LOOP 1604",
"address_2": "SUITE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782531708",
"telephone_number": "210-495-2117",
"fax_number": "888-893-4363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRWLC1",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-29",
"last_updated": "2015-04-29",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "TAMYRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-495-2117",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QB0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Obesity Medicine",
"state": "TX",
"license": "L3099",
"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 Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.