Organization Active NPI

Comal Medical Clinic PA

  • Geriatric Medicine (Family Medicine) Physician
  • New Braunfels, TX
National Provider Identifier
1962545160
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
COMAL MEDICAL CLINIC PA
Practice address
651 N Business Ih 35 Ste 720
New Braunfels, TX 78130-7875
Phone
(830) 237-4318
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Charles Wayne Smith, D.O.
Title
Physician
Phone
(830) 237-4318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

651 N Business Ih 35 Ste 720
New Braunfels, TX 78130-7875

Mailing address

PO Box 311743
New Braunfels, TX 78131-1743
Phone (830) 237-4318

Other identifiers 1

IdentifierTypeStateIssuer
092251001MedicaidTX

National Provider Directory

National Provider Directory

Locations

651 N Business Ih 35
Ste 720
New Braunfels, TX 78130
Phone (830) 237-4318

1435 N Walnut Ave
New Braunfels, TX 78130
Phone (830) 620-4110

1551 N Walnut Ave
Ste 40
New Braunfels, TX 78130
Phone (830) 620-4110

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1962545160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311743",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781311743",
            "telephone_number": "830-237-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N BUSINESS IH 35 STE 720",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307875",
            "telephone_number": "830-237-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMAL MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "830-237-4318",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092251001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.