Prime Oak Group LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRIME OAK GROUP LLC

Doing business as

SA Heart Vascular and Rhythm Center

Practice address

6830 Heuermann Rd
San Antonio, TX 78256-9603

Phone

(210) 802-4350

Fax

(210) 802-4351

NPI assigned

Aug 10, 2015

Last updated

Nov 24, 2020By 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

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": "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
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "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"
        }
    ]
}

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• Prime Consumer Solutions (PCS Personal Care)
• Prime Home Health, LLC
• Prime Performance DME LLC
• Prime Vitality LLC (Prime Vitality Wellness)
• Loree Ann Primeau, OTR
• Kevin Primeaux
• Primeiv Solutions LLC (Vitality Health at Your Door)

• 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.