Organization Active NPI

Texas Ez Ride

  • Non-emergency Medical Transport (VAN)
  • San Antonio, TX
National Provider Identifier
1871075838
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
TEXAS EZ RIDE
Practice address
4811 Fairford Dr
San Antonio, TX 78228-1013
Phone
(210) 689-9312
NPI assigned
Sep 5, 2018
Last updated
Sep 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Mr. Robert Gray Villanueva Jr.
Title
Member
Phone
(210) 689-9312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

4811 Fairford Dr
San Antonio, TX 78228-1013

Mailing address

4811 Fairford Dr
San Antonio, TX 78228-1013
Phone (210) 689-9312

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1871075838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 FAIRFORD DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281013",
            "telephone_number": "210-689-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 FAIRFORD DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281013",
            "telephone_number": "210-689-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS EZ RIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "210-689-9312",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "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 Sep 5, 2018; 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.