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
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1134108962
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.