Texas Healthnet Medical Clinic LTD.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H6540 Issued in TX

Legal business name

TEXAS HEALTHNET MEDICAL CLINIC LTD.

Doing business as

Healthnet Medical Clinic

Practice address

8715 Village Dr
Suite 612
San Antonio, TX 78217-5405

Phone

(210) 653-7444

Fax

(210) 653-7456

NPI assigned

Feb 23, 2007

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

TEXAS HEALTHNET MEDICAL CLINIC LTD.As reported in NPPES

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

Authorized official

Name

Jose Reyes, MDNPI 1053519322

Title

Owner

Phone

(210) 653-7444

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Healthnet Medical Clinic Doing business as

Part of

Texas Healthnet Medical Clinic LTD

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Texas Healthnet Medical Clinic LTD.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1578631040
  NPPES parent name

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.

• Jose Reyes, M.D.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1053519322
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1730214396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 806",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782930806",
            "telephone_number": "210-653-7444",
            "fax_number": "210-653-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 VILLAGE DR",
            "address_2": "SUITE 612",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175405",
            "telephone_number": "210-653-7444",
            "fax_number": "210-653-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTHNET MEDICAL CLINIC LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS HEALTHNET MEDICAL CLINIC LTD.",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-653-7444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0020PC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140228133",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthnet Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.