Second Baptist Church

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SECOND BAPTIST CHURCH

Practice address

3310 E Commerce St
San Antonio, TX 78220-1220

Phone

(210) 227-2605

Fax

(210) 227-7419

NPI assigned

Nov 3, 2020

Last updated

Nov 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Allen Keith Jackson

Title

Director

Phone

(210) 227-2605

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1922609361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 E COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782201220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 E COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782201220",
            "telephone_number": "210-227-2605",
            "fax_number": "210-227-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND BAPTIST CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-227-2605"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara K. Sebastian, LCSW-S
• Veronica Lewis Sebastion, LPC
• Lindsay Cain Sebek, APN, CFNP
• Bradley Seboe
• Sharon Ann Secola
• Katherine Secor, LPC-S
• Secure Toxicology Services LLC
• Jose Oscar Seda, M.D.
• Odelee Angelys Seda
• Ezra D Sedano

• Adult Day Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.