NPIMap

Organization Active NPI

Urology San Antonio, P.a.

  • Radiation Oncology Physician
  • San Antonio, TX
National Provider Identifier
1962860221
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
UROLOGY SAN ANTONIO, P.A.
Practice address
7718 Pasteur Dr
San Antonio, TX 78229-3402
Phone
(210) 477-9060
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Gloria Clark
Title
Director of Operations
Phone
(210) 731-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

7718 Pasteur Dr
San Antonio, TX 78229-3402

Mailing address

7718 Pasteur Dr
San Antonio, TX 78229-3402
Phone (210) 477-9060

Other names 1

  • Dr Johnny Reyna Center for Cancer Treatment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Urology San Antonio5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1962860221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7718 PASTEUR DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293402",
            "telephone_number": "210-477-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7718 PASTEUR DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293402",
            "telephone_number": "210-477-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SAN ANTONIO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "210-731-2050"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Johnny Reyna Center for Cancer Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 2, 2016; 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.