DIABETES AND GLANDULAR DISEASE CLINIC CERTIFIED DIABETES EDUCATION CEN (NPI# 1629391842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629391842 |
| Entity Type | Organization |
| Organization Name | DIABETES AND GLANDULAR DISEASE CLINIC CERTIFIED DIABETES EDUCATION CEN |
| Practice Address |
5107 Medical Dr San Antonio TX 78229-4801 |
| Practice Telephone | 2106148612 |
| Practice Fax Number | 2106151666 |
| Mailing Telephone | 2106148612 |
| Mailing Fax Number | 2106151666 |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | AMBER D VASQUEZ (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 2106155582 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 121762202 | 05 |
| Street Address |
5107 MEDICAL DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519260 | Lisa H Tomlin | Nurse Practitioner | 5107 Medical Dr, San Antonio, TX 78229-4801 | 2005-06-22 |
| 1265071260 | Marissa Sanchez Leal | Internal Medicine | 5107 Medical Dr, San Antonio, TX 78229-4801 | 2019-12-23 |
| 1033775572 | Kalicia Christie | Nurse Practitioner | 5107 Medical Dr, San Antonio, TX 78229-4801 | 2019-05-09 |
| 1942773841 | Sheena Lavette Kicklighter | Nurse Practitioner | 5107 Medical Dr, San Antonio, TX 78229-4801 | 2019-01-03 |
| 1831670926 | Diabetes and Glandular Disease Clinic Pharmacy | Pharmacy | 5107 Medical Dr, San Antonio, TX 78229-4801 | 2018-08-27 |
| 1659861193 | Linda De Leon | Nurse Practitioner | 5107 Medical Dr, San Antonio, TX 78229-4801 | 2018-05-10 |
| 1609364447 | Stephen A. Cavazos | Nurse Practitioner | 5107 Medical Dr, San Antonio, TX 78229-4801 | 2018-04-26 |
| 1184124604 | Maricruz Arzeta-francisco | Nurse Practitioner | 5107 Medical Dr, San Antonio, TX 78229-4801 | 2018-02-21 |
| 1750898383 | Laura Dale Thompson | Nurse Practitioner | 5107 Medical Dr, San Antonio, TX 78229-4801 | 2018-01-04 |
| 1902355977 | Diana Vargas Huckaby | Nurse Practitioner | 5107 Medical Dr, San Antonio, TX 78229-4801 | 2016-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
| 1982129706 | Goldenbear Rc Services LLC | Clinic/Center | 18756 Stone Oak Parkway, 248, San Antonio, TX 78295-7825 | 2017-08-14 |
| 1669858353 | Peachwood Wellness Pllc | Clinic/Center | 8301 Broadway, Suite 422, San Antonio, TX 78209 | 2015-08-04 |
| 1043876568 | Dynamic Dermatology, Pllc | Clinic/Center | 13535 Hausman Pass Ste 104, San Antonio, TX 78249-3581 | 2019-05-10 |
| 1548728645 | Regenerative Clinics of San Antonio | Clinic/Center | 2115 Pleasanton Rd Ste 203, San Antonio, TX 78221-1300 | 2019-03-07 |
| 1336607977 | Tina Batten | Clinic/Center | 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6720 | 2019-03-02 |
| 1891250742 | Jesse Saucedo | Clinic/Center | 2115 Pleasanton Rd Ste 203, San Antonio, TX 78221-1300 | 2019-02-05 |
| 1679062251 | F Silva Md Pllc | Clinic/Center | 14615 San Pedro Ave Ste 105, San Antonio, TX 78232-4364 | 2018-05-09 |
| 1710408265 | Synaptoveda Pa | Clinic/Center | 4402 Vance Jackson Rd Ste 214, San Antonio, TX 78230-5334 | 2017-07-05 |
| 1326580408 | Texas Derm Institute, Pa | Clinic/Center | 24165 W Ih 10, Suite 102, San Antonio, TX 78257-1114 | 2016-11-07 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
Please comment or provide details below to improve the information on DIABETES AND GLANDULAR DISEASE CLINIC CERTIFIED DIABETES EDUCATION CEN.
| 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.