Organization Active NPI

Evolve Texas Medical Group PLLC

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1861189755
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EVOLVE TEXAS MEDICAL GROUP PLLC
Practice address
8721 Botts St Ste 218
San Antonio, TX 78217-6334
Phone
(210) 259-5773
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Michael Rankin, MD
Title
Owner
Phone
(210) 259-5773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

8721 Botts St Ste 218
San Antonio, TX 78217-6334

Mailing address

8721 Botts St Ste 218
San Antonio, TX 78217-6334
Phone (210) 259-5773

National Provider Directory

National Provider Directory

Locations

8721 Botts St
Ste 218
San Antonio, TX 78217
Phone (210) 259-5773

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1861189755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8721 BOTTS ST STE 218",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176334",
            "telephone_number": "210-259-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 BOTTS ST STE 218",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176334",
            "telephone_number": "210-259-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE TEXAS MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-259-5773",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 Apr 20, 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.