Organization Active NPI

Potranco Emergency Physicians, PLLC

  • Emergency Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1780445874
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
POTRANCO EMERGENCY PHYSICIANS, PLLC
Practice address
12314 Potranco Rd Ste 102
San Antonio, TX 78253-4125
Phone
(210) 981-3001
NPI assigned
Jan 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Haley Riley
Title
Credentialing Manager
Phone
(361) 851-6626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

12314 Potranco Rd Ste 102
San Antonio, TX 78253-4125

Mailing address

12314 Potranco Rd Ste 102
San Antonio, TX 78253-4125

National Provider Directory

National Provider Directory

Locations

12314 FM 1957
Ste 102
San Antonio, TX 78253
Phone (210) 981-3001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1780445874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12314 POTRANCO RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12314 POTRANCO RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534125",
            "telephone_number": "210-981-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTRANCO EMERGENCY PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "361-851-6626"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 17, 2024; 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.