Organization Active NPI

San Antonio Lung Center, PLLC

  • Pulmonary Disease Physician
  • San Antonio, TX
National Provider Identifier
1780925768
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
N7940 Issued in TX
Legal business name
SAN ANTONIO LUNG CENTER, PLLC
Practice address
111 Dallas St
San Antonio, TX 78205-1230
Phone
(210) 927-1832
Fax
(210) 927-3426
NPI assigned
Mar 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Nidia Leon, MDNPI 1720029234
Title
President
Phone
(210) 560-9313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X N7940 TX Primary

Addresses

Primary practice location

111 Dallas St
San Antonio, TX 78205-1230

Mailing address

20403 Encino Ledge Unit 592716
San Antonio, TX 78259-0873
Phone (210) 927-1832

Other practice location 1

8811 Village Dr
San Antonio, TX 78217-5415
Phone (210) 297-2000

Other practice location 2

520 Madison Oak Dr
San Antonio, TX 78258-3912
Phone (210) 297-4000

Other practice location 3

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2200

Other practice location 4

6211 S New Braunfels Ave
San Antonio, TX 78223-3175
Phone (210) 531-0569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130718000467 TX Part B Supplier - Clinic/Group Practice 0547401465 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

6100 Bandera Rd
Ste 215
San Antonio, TX 78238

20403 Encino Ledge
Unit 592716
San Antonio, TX 78259

1303 McCullough Ave
Ste 428
San Antonio, TX 78212
Phone (210) 225-2229

Practitioners & affiliated clinicians

Practitioners 2

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": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1780925768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20403 ENCINO LEDGE UNIT 592716",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590873",
            "telephone_number": "210-927-1832",
            "fax_number": "210-327-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DALLAS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051230",
            "telephone_number": "210-927-1832",
            "fax_number": "210-927-3426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8811 Village Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782175415",
            "country_code": "US",
            "telephone_number": "210-297-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Madison Oak Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583912",
            "country_code": "US",
            "telephone_number": "210-297-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 McCullough Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782125601",
            "country_code": "US",
            "telephone_number": "210-757-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6211 S New Braunfels Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782233175",
            "country_code": "US",
            "telephone_number": "210-531-0569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN ANTONIO LUNG CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "NIDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-560-9313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "N7940",
            "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 Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.