Organization Active NPI

Fertility Institute of Texas, PLLC

  • Reproductive Endocrinology Physician
  • San Antonio, TX
National Provider Identifier
1891177804
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
L9256 Issued in TX
Legal business name
FERTILITY INSTITUTE OF TEXAS, PLLC
Practice address
540 Oak Centre Dr Ste 260
San Antonio, TX 78258-4767
Phone
(210) 277-8111
Fax
(830) 620-9077
NPI assigned
Jun 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Mrs. Susan B. Hudson, M.D.NPI 1649289927
Title
Owner/Ceo
Phone
(830) 660-8442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X L9256 TX Primary

Addresses

Primary practice location

540 Oak Centre Dr Ste 260
San Antonio, TX 78258-4767

Mailing address

540 Oak Centre Dr Ste 260
San Antonio, TX 78258-4767
Phone (210) 277-8111

Other identifiers 2

IdentifierTypeStateIssuer
1194927285OtherNPI
1649289927OtherNPI

National Provider Directory

National Provider Directory

Locations

705 Generations Dr
Ste 102
New Braunfels, TX 78130
Phone (830) 608-8004

540 Oak Centre Dr
Ste 260
San Antonio, TX 78258
Phone (210) 499-0448

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1891177804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 OAK CENTRE DR STE 260",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584767",
            "telephone_number": "210-277-8111",
            "fax_number": "830-620-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 OAK CENTRE DR STE 260",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584767",
            "telephone_number": "210-277-8111",
            "fax_number": "830-620-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILITY INSTITUTE OF TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "830-660-8442",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "L9256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194927285",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649289927",
            "state": null
        }
    ],
    "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 Jun 25, 2015; 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.