Organization Active NPI

Auxilium Mobile Healthcare, PLLC

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1902573900
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AUXILIUM MOBILE HEALTHCARE, PLLC
Practice address
11345 Alamo Ranch Pkwy Ste 103
San Antonio, TX 78253-6442
Phone
(210) 998-9836
Fax
(210) 462-7650
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Teofilo Sanchez III, MD
Title
President
Phone
(210) 998-9836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

11345 Alamo Ranch Pkwy Ste 103
San Antonio, TX 78253-6442

Mailing address

11345 Alamo Ranch Pkwy Ste 103
San Antonio, TX 78253-6442
Phone (210) 998-9836

Other identifiers 1

IdentifierTypeStateIssuer
M5480OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210915000190 TX Part B Supplier - Clinic/Group Practice 2062818198 Receives reassigned benefits from 3 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1902573900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11345 ALAMO RANCH PKWY STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536442",
            "telephone_number": "210-998-9836",
            "fax_number": "210-462-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11345 ALAMO RANCH PKWY STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536442",
            "telephone_number": "210-998-9836",
            "fax_number": "210-462-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUXILIUM MOBILE HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ  III",
        "authorized_official_first_name": "TEOFILO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-998-9836",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "M5480",
            "state": "TX"
        }
    ],
    "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 Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.