TRINITY FAMILY MEDICINE CLINIC LLC (NPI# 1164658332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164658332 |
| Entity Type | Organization |
| Organization Name | TRINITY FAMILY MEDICINE CLINIC LLC |
| Practice Address |
6601 Blanco Rd Suite 100 San Antonio TX 78216-6102 |
| Practice Telephone | 2105410018 |
| Practice Fax Number | 2105410024 |
| Mailing Telephone | 2105410018 |
| Mailing Fax Number | 2105410024 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2015-08-26 |
| Authorized Official Name | DR. JUAN PENA VELAZQUEZ (PROVIDER) |
| Authorized Official Telephone | 2105410018 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | N1488 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 333635601 | 05 |
| Street Address |
6601 BLANCO RD SUITE 100 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-6102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225130420 | Jenny Elizabeth Sullivan | Speech-Language Pathologist | 6601 Blanco Rd, Suite 160, San Antonio, TX 78216-6102 | 2006-09-01 |
| 1851520183 | Alicia A Stephenson | Speech-Language Pathologist | 6601 Blanco Rd, # 160, San Antonio, TX 78216-6102 | 2009-07-08 |
| 1841447216 | Claudia V. Ramon | Physical Therapist | 6601 Blanco Rd, 160, San Antonio, TX 78216-6102 | 2008-08-27 |
| 1396906731 | Juan P Velazquez | Family Medicine | 6601 Blanco Rd, Suite 100, San Antonio, TX 78216-6102 | 2008-06-18 |
| 1740300581 | Outreach Pediatric Therapy, Inc | Speech-Language Pathologist | 6601 Blanco Rd, Suite 160, San Antonio, TX 78216-6102 | 2007-03-29 |
| 1215098009 | Maragret Jill Doyle | Speech-Language Pathologist | 6601 Blanco Rd, Suite 160, San Antonio, TX 78216-6102 | 2006-12-13 |
| 1720167620 | Monica N/a Cisneros | Occupational Therapist | 6601 Blanco Rd, Suite #160, San Antonio, TX 78216-6102 | 2006-11-03 |
| 1346328416 | Joshua Shelton Florence | Physical Therapist | 6601 Blanco Rd, Suite 160, San Antonio, TX 78216-6102 | 2006-11-02 |
| 1245317569 | Tami Aurora Johnson | Speech-Language Pathologist | 6601 Blanco Rd, Suite 160, San Antonio, TX 78216-6102 | 2006-11-01 |
| 1902983356 | Barbara Ann Harr | Occupational Therapist | 6601 Blanco Rd, Suite 160, San Antonio, TX 78216-6102 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1255938866 | Bart Knight | Family Medicine | 106 Herweck Dr, San Antonio, TX 78213-3329 | 2020-10-06 |
| 1114530565 | Jacob C Reedy | Family Medicine | 525 Richmond Ave, San Antonio, TX 78215-2008 | 2020-08-26 |
| 1750992277 | Premier Tests LLC | Family Medicine | 410 E Wildwood, San Antonio, TX 78212-1758 | 2020-08-10 |
| 1770104457 | Bryanna Bermea Cantu | Family Medicine | 2318 San Pedro Ave Ste 12, San Antonio, TX 78212-1901 | 2020-05-04 |
| 1447886544 | Lets Look At Your Labs LLC | Family Medicine | 1603 Babcock Rd Ste 238-5, San Antonio, TX 78229-4708 | 2020-03-20 |
| 1609414937 | Lonestar Visiting Physicians LLC | Family Medicine | 406 Halliday Ave, San Antonio, TX 78210-4057 | 2019-12-17 |
| 1679126817 | Sarah Heather Martinez | Family Medicine | 15106 Oak Loft St, San Antonio, TX 78232-4617 | 2019-07-17 |
| 1659930634 | Villa Family Clinic, PC | Family Medicine | 2000 Se Loop 410 Ste 127a, San Antonio, TX 78220-4933 | 2019-06-12 |
| 1508327859 | South Texas Family Medicine and Urgent Care Center | Family Medicine | 3526 Galveston Trl, San Antonio, TX 78253-6219 | 2019-03-28 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
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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.