Organization Active NPI

Texas Renal Associates P a

  • Specialist
  • San Antonio, TX
National Provider Identifier
1932303617
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F6041 Issued in TX
Legal business name
TEXAS RENAL ASSOCIATES P A
Practice address
8038 Wurzbach Rd
Ste 430
San Antonio, TX 78229-3817
Phone
(210) 224-1079
Fax
(210) 222-1520
NPI assigned
Jun 14, 2007
Last updated
Oct 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Miss Ana Patricia Garcia
Title
Contact Person
Phone
(210) 224-1079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F6041 TX Primary

Addresses

Primary practice location

8038 Wurzbach Rd
Ste 430
San Antonio, TX 78229-3817

Mailing address

PO Box 291169
San Antonio, TX 78229-1769

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110422000455 TX Part B Supplier - Clinic/Group Practice 5799960415 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

1211 E Commerce St
San Antonio, TX 78205
Phone (210) 224-1079

903 Austin Hwy
San Antonio, TX 78209
Phone (210) 440-0733

Practitioners & affiliated clinicians

Practitioners 5

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": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1932303617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291169",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782291769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8038 WURZBACH RD",
            "address_2": "STE 430",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293817",
            "telephone_number": "210-224-1079",
            "fax_number": "210-222-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS RENAL ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CONTACT PERSON",
        "authorized_official_telephone_number": "210-224-1079",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F6041",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 23, 2014; 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.