Active NPI
West Wharton County Hospital District
- Skilled Nursing Facility
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WEST WHARTON COUNTY HOSPITAL DISTRICT
- Practice address
- 5027 Pecan Grove Boulevard
San Antonio, TX 78222-3529 - Phone
- (210) 333-6815
- Fax
- (210) 333-7400
- NPI assigned
- Jun 14, 2019
- 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
- Mr. David Mak
- Title
- Chief Financial Officer
- Phone
- (979) 578-5250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5027 Pecan Grove Boulevard
San Antonio, TX 78222-3529
Mailing address
4150 International Plaza
Suite 600
Fort Worth, TX 76109-4831
Phone (817) 348-8959
Other names 1
- Buena Vida Nursing & Rehab San Antonio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220706002284 | TX | Part A Provider - Skilled Nursing Facility | 7517952047 | Practice locations: San Antonio, TX |
Skilled nursing facility certification: CCN 455390
- Legal name
- WEST WHARTON COUNTY HOSPITAL DISTRICT
- Doing business as
- BUENA VIDA NURSING & REHAB SAN ANTONIO
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Dec 1, 1984
- Last certification
- Jul 12, 2024
- Beds
- 222
- Ownership / control type
- Hospital District
- Multi-facility organization
- Creative Solutions in Healthcare
- Organization structure
- Other
- Enrollment address
- 5027 Pecan Grove Boulevard
San Antonio, TX 78222-3529 - Nursing home name
- BUENA VIDA NURSING AND REHAB-SAN ANTONIO
- Affiliated entity
- CREATIVE SOLUTIONS IN HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Buena Vida Nursing and Rehab-San Antonio
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Certified
- Dec 1, 1984
- Medicare certification status
- Active
- Certified beds
- 222
- Chain
- Creative Solutions in Healthcare
- Special focus status
- SFF Candidate
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 3
National Provider Directory
National Provider Directory- Tax ID family
- West Wharton County Hospital District
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Skilled Nursing Facility
- Uvalde, TX
- NPI 1700510161
-
- Skilled Nursing Facility
- Tyler, TX
- NPI 1710751714
-
- Skilled Nursing Facility
- Shiner, TX
- NPI 1720085731
-
- Skilled Nursing Facility
- Jasper, TX
- NPI 1720544786
-
- Skilled Nursing Facility
- Alice, TX
- NPI 1730779646
-
- Skilled Nursing Facility
- Floresville, TX
- NPI 1740814318
-
- Skilled Nursing Facility
- Brownwood, TX
- NPI 1740914191
-
- Skilled Nursing Facility
- Odessa, TX
- NPI 1740973023
-
- Skilled Nursing Facility
- Corsicana, TX
- NPI 1750388617
-
- Skilled Nursing Facility
- Sweetwater, TX
- NPI 1750980272
-
- Skilled Nursing Facility
- Winnsboro, TX
- NPI 1760013809
-
- Skilled Nursing Facility
- Midlothian, TX
- NPI 1770984569
Ownership & related parties
All disclosed owners & managing parties 18
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Richard Kerzee | Managing Control - Governing Body | Sep 24, 2007 | |
| Johnny Thompson | Corporate Officer | Jan 1, 2024 | |
| Malisa a Blake | Operational/Managerial Control | Sep 1, 2022 | 50% |
| Patricia a Korenek | Managing Control - Governing Body | May 5, 2018 | |
| Gary R Blake | Operational/Managerial Control | Sep 1, 2022 | 50% |
| Adp of the SNF | Sep 1, 2022 | ||
| Paul Soechting | Managing Control - Governing Body | Nov 22, 2024 | |
| Stephen Cooper | Managing Control - Governing Body | Nov 22, 2022 | |
| Sean Bowers | Managing Control - Governing Body | Jul 1, 2024 | |
| Randy L Panther | Adp of the SNF | Jan 1, 2025 | |
| Linda F Huggins | Corporate Director | Sep 1, 2022 | |
| Anna Dixon | Adp of the SNF | Apr 14, 2025 | |
| San Antonio IV Enterprises LLC | Operational/Managerial Control | Sep 1, 2022 | 100% |
| Adp of the SNF | May 7, 2025 | ||
| Joe Strack | Managing Control - Governing Body | Feb 11, 2022 | |
| Travis Cobb | Managing Control - Governing Body | Oct 5, 2022 | |
| West Wharton County Hospital District | 5% Or Greater Direct Ownership Interest | Apr 1, 2022 | 100% |
| Direct Ownership Interest | Sep 1, 2022 | 100% | |
| Sherrie Hardin | Managing Control - Governing Body | Sep 4, 2024 | |
| Zachary Willig | Corporate Director | Jan 1, 2025 | |
| Alfred Cisneros | Managing Control - Governing Body | Feb 18, 2008 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
All facility ownership & control disclosures 91
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Lakeside Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2022 |
| Mystic Park Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2022 |
| West Oaks Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Avir at River Ridge | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Avir at Heritage | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Avir at Portland | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2019 |
| Avir at El Paso | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2020 |
| Avir at Abilene | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2020 |
| Rollingbrook Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2021 |
| Brush Country Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2021 |
| Gulf Shores Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| Midlothian Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2024 |
| Prairie Meadows Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| West Houston Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2021 |
| Lakeview Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2021 |
| Granbury Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Amarillo Center for Skilled Care | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Sterling Hills Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| De Leon Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Sun Valley Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Lone Star Ranch Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Shiner Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Renaissance Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Twin Pines North Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Greenhill Villas | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| The Arbors Healthcare and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Twilight Home | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Oasis Nursing & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Willow Park Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Southern Specialty Rehab & Nursing | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Marine Creek Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Huebner Creek Health & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| The Hills Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Mineral Wells Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| The Rio at Mission Trails | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| The Premier SNF of Alice | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Franklin Heights Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Silver Tree Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Sienna Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2022 |
| Cypress Creek Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2022 |
| Skilled Care of Mexia | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2022 |
| Care Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Sep 1, 2020 Sep 1, 2020 |
| Concho Health and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Sep 1, 2022 Sep 1, 2022 |
| Devine Health and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Sep 1, 2022 Sep 1, 2021 |
| Bertram Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Amistad Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| San Saba Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Rock Creek Health and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| The Atrium of Bellmead | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Ganado Nursing and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Sep 1, 2022 Sep 1, 2022 |
| Shady Oak Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| La Hacienda de Paz Rehabilitation and Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Sep 1, 2022 Sep 1, 2022 |
| Oak Ridge Manor | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2020 |
| Sunflower Park Health Care | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Songbird Lodge | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Matagorda Nursing & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Villa Toscana at Cypress Woods | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Central Texas Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Sep 1, 2022 Sep 1, 2021 |
| Avir at Azalea Heights | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 15, 2022 |
| Five Points at Lake Highlands Nursing and Rehab | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| Treemont Healthcare and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| Normandy Terrace Nursing & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| Brentwood Terrace Healthcare and Rehabillitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 1, 2023 |
| El Paso Health and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Sep 1, 2022 |
| Estates Healthcare and Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Feb 1, 2023 Sep 1, 2023 |
| Five Points Nursing and Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2023 |
| The Heights on Valley Ranch | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2023 |
| The Enclave | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2023 |
| Park Bend Rehabilitation and Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2023 |
| Brownwood Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Jul 1, 2023 Jul 1, 2023 |
| Castro County Nursing & Rehabilitation | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Adp of the SNF |
Sep 1, 2023 Sep 1, 2023 |
| Buena Vida Nursing & Rehab Odessa | Skilled nursing facility | Direct Ownership Interest (100%) | Aug 1, 2019 |
| Avir at Madisonville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 14, 2023 |
| Avir at Lindale | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Beltline Healthcare Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Avir at Pilot Point | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| River Bend Healthcare | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2024 |
| Avir at Patriot | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Whitesboro Health & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Direct Ownership Interest (100%) |
Dec 1, 2023 Sep 1, 2024 |
| Mustang Park Therapy and Living Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 2024 |
| Fair Park Health & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| University Rehabilitation Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Grace Pointe Wellness Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Avir at Rose Trail | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2024 |
| Avir at Petal Hill | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2020 |
| Southern Oaks Therapy and Living Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Vintage Health Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest | Dec 1, 2023 |
| Mallard Creek Therapy and Living Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2026 |
| Rockwall Nursing Care Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2023 |
| Avir at Tierra Este | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2025 |
| Avir at Kerrville | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Apr 1, 2025 |
Facilities with the same owner 90
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Seguin, TX
- NPI 1245099423
West Wharton County Hospital District
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1003527748
West Wharton County Hospital District
-
- Skilled Nursing Facility
- Fort Worth, TX
- NPI 1013628759
West Wharton County Hospital District
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1023443579
West Wharton County Hospital District
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1023576865
West Wharton County Hospital District
-
- Skilled Nursing Facility
- Abilene, TX
- NPI 1023641024
West Wharton County Hospital District
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1073082590
West Wharton County Hospital District
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1093273732
West Wharton County Hospital District
-
- Skilled Nursing Facility
- Dallas, TX
- NPI 1093597064
West Wharton County Hospital District
-
- Skilled Nursing Facility
- El Paso, TX
- NPI 1124352901
West Wharton County Hospital District
-
- Skilled Nursing Facility
- Whitesboro, TX
- NPI 1144002122
West Wharton County Hospital District
-
- Skilled Nursing Facility
- Austin, TX
- NPI 1144607334
West Wharton County Hospital District
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1023057528
-
- Pulmonary Disease Physician
- San Antonio, TX
- NPI 1285742056
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437169125
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1568791010
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1023057528
Nursing home
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1568791010
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645747200000",
"number": "1780244533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 INTERNATIONAL PLAZA",
"address_2": "SUITE 600",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094831",
"telephone_number": "817-348-8959",
"fax_number": "817-348-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5027 PECAN GROVE BOULEVARD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782223529",
"telephone_number": "210-333-6815",
"fax_number": "210-333-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST WHARTON COUNTY HOSPITAL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-14",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A",
"authorized_official_last_name": "MAK",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "979-578-5250",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Buena Vida Nursing & Rehab San Antonio",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Buena Vida Nursing & Rehab San Antonio",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.