MCCI OF TEXAS PRIMARY CARE GROUP PLLC (NPI# 1033683230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033683230 |
| Entity Type | Organization |
| Organization Name | MCCI OF TEXAS PRIMARY CARE GROUP PLLC |
| Other Organization Name | CONVIVA CARE CENTER |
| Practice Address |
9727 Poteet Jourdanton Fwy Ste 108 San Antonio TX 78211-4575 |
| Practice Telephone | 2109234372 |
| Practice Fax Number | 2109235581 |
| Mailing Telephone | 2109234372 |
| Mailing Fax Number | 2109235581 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | GEMMA ROSELLO (VP) |
| Authorized Official Telephone | 3055002000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCCI OF TEXAS PRIMARY CARE GROUP PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Conviva Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013471184 | Mcci of Texas Primary Care Group Pllc | Family Medicine | 18414 Us Highway 281 N Ste 104, San Antonio, TX 78259-7611 | 2019-01-23 |
| 1518431717 | Mcci of Texas Primary Care Group Pllc | Family Medicine | 917 S Port Ave, Corpus Christi, TX 78405-2301 | 2019-01-22 |
| 1881168086 | Mcci of Texas Primary Care Group Pllc | Internal Medicine | 1211b E Cliff Dr, El Paso, TX 79902-4734 | 2019-01-22 |
| 1508330705 | Mcci of Texas Primary Care Group Pllc | Family Medicine | 1314 Guadalupe St Ste 105, San Antonio, TX 78207-5582 | 2019-01-22 |
| 1043784242 | Mcci of Texas Primary Care Group Pllc | Family Medicine | 1209 Highway 35 N, Rockport, TX 78382-4808 | 2019-01-22 |
| 1023582228 | Mcci of Texas Primary Care Group Pllc | Internal Medicine | 10435 Vista Del Sol Dr, El Paso, TX 79925-7920 | 2019-01-22 |
| 1972842664 | Mcci of Texas Primary Care Group Pllc | General Practice | 18414 Us Highway 281 N Ste 104, San Antonio, TX 78259 | 2013-01-31 |
| Street Address |
9727 POTEET JOURDANTON FWY STE 108 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78211-4575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346349420 | Maria Iuliana Botez | Internal Medicine | 9727 Poteet Jourdanton Fwy Ste 108, San Antonio, TX 78211-4575 | 2006-09-22 |
| 1508479114 | Renee Marie Ferro | Pharmacist | 9727 Poteet Jourdanton Fwy Ste 108, San Antonio, TX 78211-4575 | 2020-08-25 |
| 1073942660 | Lynn Van Epps | Nurse Practitioner | 9727 Poteet Jourdanton Fwy Ste 108, San Antonio, TX 78211-4575 | 2013-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306211735 | Flour Bluff Dental Pllc | Dentist | 1431 Palo Alto Rd, San Antonio, TX 78211 | 2015-12-10 |
| 1578903282 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 8538 Ih 35 South, San Antonio, TX 78211 | 2013-06-26 |
| 1376774448 | Esmeralda Huizar Alvarado | Dental Hygienist | 902 Wagner, San Antonio, TX 78211 | 2009-08-06 |
| 1164677134 | Deborah Rodriguez | Occupational Therapist | 102 Palo Alto Rd., Suite 140, San Antonio, TX 78211 | 2008-11-18 |
| 1083895619 | Orthotics Specialist | Prosthetic/Orthotic Supplier | Orthotics Specialist Dba Hill Country Orthotics and Pro, 6631 S Zarzamora St, San Antonio, TX 78211 | 2007-11-26 |
| 1508079435 | Huong Mai Nguyen | Optometrist | 8538 Ih-35 South, San Antonio, TX 78211 | 2007-05-07 |
| 1750593760 | Methodist Healthcare Ministries of South Texas | Clinic/Center | Wesley Primary Care Clinic, 1406 Fitch Street, San Antonio, TX 78211 | 2007-05-03 |
| 1720116825 | Pieter Laven | Dentist | 7201 Somerset Road, San Antonio, TX 78211 | 2007-03-01 |
| 1710058458 | Sa Helping Hands LLC | Home Health | 5655 Highway 35 S, San Antonio, TX 78211 | 2006-11-13 |
| 1669073839 | Callilayne Garnsey | Pharmacist | 8538 Ih-35 South, San Antonio, TX 78211 | 2020-11-04 |
| Find all providers in zip 78211 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080014 | Stephanie Kennedy | Internal Medicine | 503 E Sonterra Blvd, San Antonio, TX 78258-4058 | 2020-10-09 |
| 1356966287 | All-american Allergy Asthma & Immunology Center | Internal Medicine | 1303 Mccullough Ave Ste 362, San Antonio, TX 78212-5620 | 2020-06-16 |
| 1154945913 | Primera Wellness LLC | Internal Medicine | 1603 Babcock Rd Ste 238-2, San Antonio, TX 78229-4708 | 2020-06-07 |
| 1982244612 | Douglas Shawn Owens | Internal Medicine | 503 E Sonterra Blvd Ste 102, San Antonio, TX 78258-4059 | 2020-01-10 |
| 1053872937 | Southern Texas Physicians,llc | Internal Medicine | 14345 Blanco Rd, San Antonio, TX 78216-7723 | 2019-03-25 |
| 1568929479 | Abc Medical Concierge LLC | Internal Medicine | 2838 N Loop 1604 E Ste 104, San Antonio, TX 78232-1712 | 2019-02-27 |
| 1861972796 | Integrative Health Solution, LLC | Internal Medicine | 10007 Huebner Rd Ste 106, San Antonio, TX 78240-1646 | 2018-08-20 |
| 1528553039 | Remington Wellness Group Dba Truemed Health Centers | Internal Medicine | 525 Oak Centre Dr Ste 230, San Antonio, TX 78258-3916 | 2018-06-27 |
| 1942733662 | Tasnim Islam | Internal Medicine | 12446 West Ave Ste 102, San Antonio, TX 78216-2530 | 2017-04-10 |
| 1154866135 | Chris Dire | Internal Medicine | 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, San Antonio Military Medical Center, San Antonio, TX 78234-4504 | 2016-12-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78211 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.