South Texas Health Alliance

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

Legal business name

SOUTH TEXAS HEALTH ALLIANCE

Practice address

528 North Union Street
Suite 250
New Braunfels, TX 78130

Phone

(210) 886-8340

Fax

(210) 886-8344

NPI assigned

Dec 11, 2009

Organization subpart

No

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

Authorized official

Name

Donna J Mikulecky

Title

Vice President Board of Directors

Phone

(713) 277-2208

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1821327362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WEST LOOP S STE 400B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273015",
            "telephone_number": "713-277-2700",
            "fax_number": "713-277-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 NORTH UNION STREET",
            "address_2": "SUITE 250",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "210-886-8340",
            "fax_number": "210-886-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "MIKULECKY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "713-277-2208"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Elizabeth Sosa, DC
• Ariana Selina Soto
• Jacob Soto, RBT
• Jesse Soto
• Soul Growth Counseling, LLC
• South Texas Ocd
• South Texas Ocd Clinic
• South Texas Pathology Services PA
• South Texas Physician Services, PLLC
• Southerncross Ambulance, Inc.

• Pediatric Surgery Physician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Pediatric Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.