Alicia Valerius Tezel, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J0309 Issued in TX

Practice address

24200 Ih 10 W Ste 108
San Antonio, TX 78257-1150

Phone

(210) 263-9443

NPI assigned

Jun 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Alicia Valerius Thogmartin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2021 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Little Spurs Developmental and Behavioral Pediatrics, PLLC

  • Developmental - Behavioral Pediatrics Physician
  • San Antonio, TX
  • NPI 1306583646
  NPD Authorized official
• Little Spurs Pediatric Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1780673319

  Pediatrics

  NPD (past) Authorized official
• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019
  NPD (past)
• Lone Star Urgent Care Managers, LLC

  dba Little Spurs Autism Centers

  • Community/Behavioral Health Agency
  • San Antonio, TX
  • NPI 1659943983
  NPD (past)
• Tejano Emergency Physicians PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1770768525
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1942206396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 SAN PEDRO AVE STE 412",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322009",
            "telephone_number": "210-281-8669",
            "fax_number": "210-314-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24200 IH 10 W STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571150",
            "telephone_number": "210-263-9443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 SW Loop 410 Ste 129",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782452190",
            "country_code": "US",
            "telephone_number": "210-263-9443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11398 Bandera Rd",
            "address_2": "suite 201",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782506840",
            "country_code": "US",
            "telephone_number": "210-543-7334",
            "fax_number": "210-543-7338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEZEL",
        "first_name": "ALICIA",
        "middle_name": "VALERIUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "TX",
            "license": "J0309",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J0309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "THOGMARTIN",
            "middle_name": "VALERIUS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Texcare Adult Day Services
• Texcare Healthcare System
• Texcare Oxygen Supply LLC, Dba Texcaregivers
• Texstar Anesthesia, PLLC
• Texstar United, Inc. (Community Resource Management of Texas)
• TG Wheelchair, Inc. (Tom's Wheelchair Repair)
• TGW Superiorcare MTS LLC (Superior Mobile Health)
• TH of San Antonio, LLC (Enhabit Hospice)
• Havin Brent Thacker, RPH
• Justin Thacker

• Pediatrics Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.