CEC DEZAVALA ER PHYSICIANS PLLC (NPI# 1528453495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528453495 |
Entity Type | Organization |
Organization Name | CEC DEZAVALA ER PHYSICIANS PLLC |
Practice Address |
4999 De Zavala Rd San Antonio TX 78249-2097 |
Mailing Address |
Po Box 92695 Southlake TX 76092-0695 |
Practice Telephone | 8174210034 |
Practice Fax Number | 8174210036 |
Mailing Telephone | 8174210034 |
Mailing Fax Number | 8174210036 |
Enumeration Date | 2015-03-30 |
Last Update Date | 2015-04-07 |
Authorized Official Name | JOHN BRAXTON NEIMAN (GENERAL COUNSEL) |
Authorized Official Telephone | 8174210034 |
Authorized Official Credential | ESQ. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
Street Address |
4999 DE ZAVALA RD |
City | SAN ANTONIO |
State | TX |
Zip Code | 78249-2097 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023389558 | Patricia A Khoury | Specialist/Technologist | 4999 De Zavala Rd, San Antonio, TX 78249-2097 | 2012-01-13 |
1699168625 | Complete Emergency Care De Zavala LLC | Clinic/Center | 4999 De Zavala Rd, San Antonio, TX 78249-2097 | 2015-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
Find all providers in zip 78249 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063652147 | Sean Wang | Emergency Medicine | 7703 Floyd Curl Drive, Ms 7736, Uthscsa, Department of Emergency Medicine, San Antonio, TX 78229 | 2009-03-02 |
1194778886 | Ted W Switzer | Emergency Medicine | 14719 Sir Huon St, San Antonio, TX 78248-1147 | 2006-05-17 |
1295720209 | Joseph L Mcdaniel | Emergency Medicine | 111 Dallas Street, Emergency Room, San Antonio, TX 78205-1201 | 2005-09-15 |
1740280999 | Keith Beck | Emergency Medicine | 7579 N Loop 1604 W, Suite 101, San Antonio, TX 78249-2781 | 2005-07-29 |
1255841011 | 2013 Pearl Er Physicians Pllc | Emergency Medicine | 2015 Broadway St, San Antonio, TX 78215-1117 | 2017-10-06 |
1578934881 | Cec City Base Er Physicians Pllc | Emergency Medicine | 2619 Se Military Dr, 101, San Antonio, TX 78223-4312 | 2015-10-13 |
1194117374 | Cec Alamo Heights Er Physicians Pllc | Emergency Medicine | 6496 N New Braunfels Ave, San Antonio, TX 78209-3827 | 2015-02-25 |
1831513944 | Fossil Creek Er Physicians Pllc | Emergency Medicine | 22250 Bulverde Rd, Suite 120, San Antonio, TX 78261-3084 | 2014-02-10 |
1124364302 | Cec San Antonio Er Physicians Pllc | Emergency Medicine | 10628 Culebra Rd, San Antonio, TX 78251-1312 | 2012-12-17 |
1326204744 | Mario Benjamin Fernandez | Emergency Medicine | 11212 State Highway 151, San Antonio, TX 78251-4498 | 2008-08-05 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78249 |
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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.