SOUTH TEXAS NURSE PRACTITIONER SERVICES PLLC NPI 1013383801

NPI Information

NPI: 1013383801
Provider Name: SOUTH TEXAS NURSE PRACTITIONER SERVICES, PLLC

Doing Business As: INNOVATIVE URGENT CARE & FAMILY HEALTH CLINIC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
9910 W LOOP 1604 N STE 128
SAN ANTONIO, TX
ZIP 78254
Phone: (210) 455-6253
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SOUTH TEXAS NURSE PRACTITIONER SERVICES, PLLC is an urgent care clinic center in San Antonio, TX. SOUTH TEXAS NURSE PRACTITIONER SERVICES, PLLC NPI is 1013383801. The provider is registered as an organization entity type.
The provider Is Doing Business As Innovative Urgent Care & Family Health Clinic.

The provider's business location address is:

9910 W LOOP 1604 N STE 128
SAN ANTONIO, TX
ZIP 78254-610
Phone: (210) 455-6253
Fax: (210) 455-6287

The provider's authorized official is Peter John Schanen .
The authorized official title is President and has the following contact phone number (210) 455-6253.

The CLIA number assigned to this NPI record is 45D2185462 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2015 and was last updated on 11/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	AP127362	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	370925501	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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