Lucidity of San Antonio PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LUCIDITY OF SAN ANTONIO PLLC

Practice address

8203 Tesoro HLS
San Antonio, TX 78242-1414

Phone

(210) 400-1911

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Domingo Lopez Jr., NPNPI 1134623838

Title

Owner/Managing Member

Phone

(210) 573-2736

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Domingo Lopez Jr., NP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1134623838

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1871371799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 TESORO HLS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782421414",
            "telephone_number": "210-400-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 TESORO HLS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782421414",
            "telephone_number": "210-400-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIDITY OF SAN ANTONIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DOMINGO",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "210-573-2736",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Lucero, RN
• Jeremiah Isaac Lucero, LPC
• Luis Lucero, FNP-BC
• Allen Luciano, RN
• Lucid Dental PA
• Lucille Miller (1 Heartbeat Transportation Service)
• Lucina B Trevino M.D.
• Dante Eliazar Lucio, FNP
• Diane G Lucio, RPSGT
• Eduardo Lucio, LPC

• Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.