PMC Healthcare and Diagnostics of San Antonio, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K7449 Issued in TX

Legal business name

PMC HEALTHCARE AND DIAGNOSTICS OF SAN ANTONIO, PC

Practice address

400 N Loop 1604 E
Suite 330
San Antonio, TX 78232-1258

Phone

(210) 201-8000

NPI assigned

Jun 19, 2014

Last updated

Jun 19, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shauna Lyn, MD

Title

Medical Director

Phone

(210) 201-8000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1720492465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787052025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N LOOP 1604 E",
            "address_2": "SUITE 330",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321258",
            "telephone_number": "210-201-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMC HEALTHCARE AND DIAGNOSTICS OF SAN ANTONIO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "LYN",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "210-201-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PM Management - San Antonio NC LLC (Trisun Care Center - Lakeside)
• PM Management-Babcock NC LLC (Mesa Vista Inn Health Center)
• PM Management-Windcrest NC LLC (Trisun Care Center-Windcrest)
• PM Management-Wurzbach NC LLC (Trisun Care Center-Wurzbach)
• PM&R Associates of San Antonio PLLC
• Pmpa PLLC
• PNC Services, Inc
• Mary Rosalie Candelario Pobre
• Podiatry First of San Antonio PLLC
• Sahitya Podila, MD

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.