Southwest Allergy & Asthma Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

G8728 Issued in TX

Legal business name

SOUTHWEST ALLERGY & ASTHMA CENTER

Practice address

3903 Wiseman Blvd Ste 202
San Antonio, TX 78251-4417

Phone

(210) 616-0690

Fax

(210) 614-8746

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Bruce G Martin, D.O.

Title

Owner

Phone

(210) 616-0690

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1972617009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 WISEMAN BLVD STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514417",
            "telephone_number": "210-767-0690",
            "fax_number": "210-614-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 WISEMAN BLVD STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514417",
            "telephone_number": "210-616-0690",
            "fax_number": "210-614-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ALLERGY & ASTHMA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-616-0690",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G8728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.