Prime Oak Group LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRIME OAK GROUP LLC

Practice address

6830 Heuermann Rd
San Antonio, TX 78256-9603

Phone

(210) 802-4350

Fax

(210) 802-4351

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Sandra M Ibarra-Narvaez

Title

Office Manager

Phone

(210) 272-0098

Specialties & licenses 3

Addresses

Other names 1

• SA Heart Vascular and Rhythm Center Doing business as

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1770969099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 HEUERMANN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782569603",
            "telephone_number": "210-802-4350",
            "fax_number": "210-802-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 HEUERMANN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782569603",
            "telephone_number": "210-802-4350",
            "fax_number": "210-802-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME OAK GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "IBARRA-NARVAEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-272-0098"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SA Heart Vascular and Rhythm Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SA Heart Vascular and Rhythm Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prime Care Seven, LLC
• Prime Care Seven, LLC
• Prime Commodities Inc.
• Prime Consumer Solutions
• Prime Home Health, LLC
• Prime Performance DME LLC
• Prime Vitality LLC
• Loree Ann Primeau, OTR
• Kevin Primeaux
• Primeiv Solutions LLC

• Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.