NPIMap

Organization Active NPI

Atlantic Medical, PLLC

  • Primary Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1992973200
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
PA01295 Issued in TX
Legal business name
ATLANTIC MEDICAL, PLLC
Practice address
11403 Oconnor Rd
Ste. 108
San Antonio, TX 78233-5390
Phone
(210) 657-3700
Fax
(210) 657-3708
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Ughanmwan Efeovbokhan, NPNPI 1649387630
Title
Owner
Phone
(210) 657-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X PA01295 TX Primary

Addresses

Primary practice location

11403 Oconnor Rd
Ste. 108
San Antonio, TX 78233-5390

Mailing address

11403 Oconnor Rd
Ste. 108
San Antonio, TX 78233-5390
Phone (210) 657-3700

Other names 1

  • Atlantic Family Healthcare Other name

National Provider Directory

National Provider Directory

Locations

725 E Main St
Eagle Pass, TX 78852
Phone (210) 657-3700

Practitioners & affiliated clinicians

Practitioners 6

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": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1992973200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11403 OCONNOR RD",
            "address_2": "STE. 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782335390",
            "telephone_number": "210-657-3700",
            "fax_number": "210-657-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11403 OCONNOR RD",
            "address_2": "STE. 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782335390",
            "telephone_number": "210-657-3700",
            "fax_number": "210-657-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "EFEOVBOKHAN",
        "authorized_official_first_name": "UGHANMWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-657-3700",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "PA01295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Family Healthcare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Atlantic Family Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 28, 2019; 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.