American Texas Medicaid LLC

Primary specialty

TaxiTaxonomy code 344600000X

Legal business name

AMERICAN TEXAS MEDICAID LLC

Practice address

8916 Datapoint Dr Apt 2623
San Antonio, TX 78229-2505

Phone

(210) 352-0569

NPI assigned

Feb 9, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Wahidullah Gul Ayaz

Title

Ceo

Phone

(210) 352-0569

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1790482883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8916 DATAPOINT DR APT 2623",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292505",
            "telephone_number": "210-352-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8916 DATAPOINT DR APT 2623",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292505",
            "telephone_number": "210-352-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN TEXAS MEDICAID LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "GUL AYAZ",
        "authorized_official_first_name": "WAHIDULLAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-352-0569",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taxi in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Taxi in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.