NPIMap

Organization Active NPI

AMC Presidio Clinic

  • Family Medicine Physician
  • Presidio, TX
National Provider Identifier
1942416631
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J1567 Issued in TX
Legal business name
AMC PRESIDIO CLINIC
Practice address
501 E O'Rielly St
Presidio, TX 79845
Phone
(432) 229-4246
Fax
(432) 229-4249
NPI assigned
May 16, 2007
Organization subpart
Yes
Parent organization
ALPINE MEDICAL CENTER/AMC CLINIC PRESIDIOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Authorized official

Name
David W Sanchez, M.D.
Title
Owner
Phone
(432) 837-5505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X J1567 TX Primary

Addresses

Primary practice location

501 E O'Rielly St
Presidio, TX 79845

Mailing address

501 E O'Rielly St
Presidio, TX 79845
Phone (432) 229-4246

Other identifiers 8

IdentifierTypeStateIssuer
86W850OtherTXBCBS
111586704MedicaidTX
111586703MedicaidTX
121446OtherTXSUPERIORHEALTH
125762OtherTXSUPERIORHEALTHALPINE
111586701MedicaidTX
111586702MedicaidTX
129492801MedicaidTX

Other names 1

  • David W Sanchez Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Alpine Medical Center2 organizations share this tax ID, including this one
Part of
Alpine Medical Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1942416631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E O'RIELLY ST",
            "city": "PRESIDIO",
            "state": "TX",
            "postal_code": "79845",
            "telephone_number": "432-229-4246",
            "fax_number": "432-229-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E O'RIELLY ST",
            "city": "PRESIDIO",
            "state": "TX",
            "postal_code": "79845",
            "telephone_number": "432-229-4246",
            "fax_number": "432-229-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC PRESIDIO CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALPINE MEDICAL CENTER/AMC CLINIC PRESIDIO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-837-5505",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86W850",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111586704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111586703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIORHEALTH",
            "identifier": "121446",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIORHEALTHALPINE",
            "identifier": "125762",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111586701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111586702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129492801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David W Sanchez",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Presidio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.