Active NPI
Elizabeth Eve Sablotne
- Family Medicine Physician
- Fort Worth, TX
National Provider Identifier
1992948830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N9638
- Practice address
- 3500 Camp Bowie Blvd
Fort Worth, TX 76107-2644 - Phone
- (817) 714-2252
- NPI assigned
- Apr 8, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | N9638 | TX | Primary |
Addresses
Primary practice location
3500 Camp Bowie Blvd
Fort Worth, TX 76107-2644
Mailing address
13722 Embassy Row
San Antonio, TX 78216-2000
Phone (361) 945-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N9638 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC Provider Group PLLC | Current | Accepting new patients | |
| TMC Provider Group PLLC | Family Medicine | Current | Accepting new patients |
| TMC Provider Group PLLC | Current | Accepting new patients |
Locations
9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577
13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577
23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1053784660
-
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1033968789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495670400000",
"number": "1992948830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13722 EMBASSY ROW",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782162000",
"telephone_number": "361-945-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 CAMP BOWIE BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072644",
"telephone_number": "817-714-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABLOTNE",
"first_name": "ELIZABETH",
"middle_name": "EVE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-08",
"last_updated": "2017-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N9638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.