Active NPI
Dixie P McCrory, MD
- Family Medicine Physician
- San Antonio, TX
National Provider Identifier
1962499590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L3747
- Practice address
- 8542 Wurzbach Road
San Antonio, TX 78240-1241 - Phone
- (210) 616-7300
- Fax
- (210) 616-7359
- NPI assigned
- Sep 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L3747 | TX | Primary |
Addresses
Primary practice location
8542 Wurzbach Road
San Antonio, TX 78240-1241
Mailing address
6243 Ih 10 West
Suite 480
San Antonio, TX 78201-1326
Phone (210) 731-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152429001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3747 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phynet, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Gladewater, TX
- NPI 1912174111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322524800000",
"number": "1962499590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6243 IH 10 WEST",
"address_2": "SUITE 480",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782011326",
"telephone_number": "210-731-4800",
"fax_number": "210-731-4810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8542 WURZBACH ROAD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401241",
"telephone_number": "210-616-7300",
"fax_number": "210-616-7359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRORY",
"first_name": "DIXIE",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2011-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L3747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152429001",
"state": "TX"
}
],
"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 Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.