Active NPI
Baumholtz Plastic Surgery Associates, PLLC
- Multi-Specialty Clinic/Center
- Shavano Park, TX
National Provider Identifier
1982106688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- BAUMHOLTZ PLASTIC SURGERY ASSOCIATES, PLLC
- Practice address
- 4083 De Zavala Rd
Shavano Park, TX 78249-2066 - Phone
- (210) 920-2390
- NPI assigned
- Mar 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Baumholtz, MD
- Title
- President
- Phone
- (210) 920-2390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
4083 De Zavala Rd
Shavano Park, TX 78249-2066
Mailing address
4083 De Zavala Rd
Shavano Park, TX 78249-2066
National Provider Directory
National Provider DirectoryLocations
4083 De Zavala Rd
Shavano Park, TX 78249
Phone (210) 920-2390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520467200000",
"number": "1982106688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4083 DE ZAVALA RD",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782492066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4083 DE ZAVALA RD",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782492066",
"telephone_number": "210-920-2390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAUMHOLTZ PLASTIC SURGERY ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-08",
"last_updated": "2018-03-08",
"status": "A",
"authorized_official_last_name": "BAUMHOLTZ",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-920-2390",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shavano Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.