South Texas Veterans Administration

Primary specialty

Nuclear Medicine Technology Radiologic TechnologistTaxonomy code 2471N0900X

License

4042 Issued in TX

Legal business name

SOUTH TEXAS VETERANS ADMINISTRATION

Practice address

17440 Henderson Pass
San Antonio, TX 78232

Phone

(210) 483-5997

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Heier, MHA

Title

Adminitrative Officer

Phone

(210) 483-5791

Specialties & licenses 2

Addresses

Other names 1

• North Central Federal Clinic Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780885103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 SHALLOW RIDGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782394022",
            "telephone_number": "210-656-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17440 HENDERSON PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78232",
            "telephone_number": "210-483-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS VETERANS ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEIER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINITRATIVE OFFICER",
        "authorized_official_telephone_number": "210-483-5791",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "2471N0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "TX",
            "license": "4042",
            "primary": true
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": "MN",
            "license": "ARRT055349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Central Federal Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• South Texas Urogynecology PLLC
• South Texas Urology & Urologic Oncology, P.a.
• South Texas Urology Group, PLLC
• South Texas VA
• South Texas Vascular Specialists PLLC
• South Texas Veterans Health Care System
• South Texas Veterans Health Care System
• South Texas Veterans Health Care System
• South Texas Veterans Health Care System
• South Texas Veterans Health Care Systems

• Radiologic Technologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.