El Mercado ENT & Allergy Clinic, Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

D4450 Issued in TX

Legal business name

EL MERCADO ENT & ALLERGY CLINIC, INC.

Practice address

15520 Ranch Road 12
Wimberley, TX 78676-6204

Phone

(512) 842-8011

Fax

(512) 842-3018

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Robert R Somerville, M.D.

Title

Medical Director

Phone

(512) 842-8011

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1902958812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1308",
            "city": "LA FERIA",
            "state": "TX",
            "postal_code": "785591308",
            "telephone_number": "512-842-8011",
            "fax_number": "512-842-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15520 RANCH ROAD 12",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786766204",
            "telephone_number": "512-842-8011",
            "fax_number": "512-842-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MERCADO ENT & ALLERGY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "SOMERVILLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "512-842-8011",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "D4450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083734601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davi Williams, DMD, PLLC
• Michael E Dean, DPT
• Rebecca Leigh Dein, PTA
• Brandon Dusek
• Joe Eissler, PT
• Enso Counseling, PLLC
• Mary G. Espinoza, RPH.
• Dale A. Faulkner, MD
• Nicole Feagan, M.S., CCC-SLP
• Alexandra Ficula, PMHNP-BC

• Otolaryngology Physician in Wimberley, TX
• Providers in Wimberley, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.