CENTRIC PHYSICIANS GROUP P.L.L.C. (NPI# 1073907184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073907184 |
| Entity Type | Organization |
| Organization Name | CENTRIC PHYSICIANS GROUP P.L.L.C. |
| Practice Address |
540 Oak Centre Dr Ste 260 San Antonio TX 78258-4767 |
| Mailing Address |
113 Pleasant Valley Dr Ste 210 Boerne TX 78006-5683 |
| Practice Telephone | 8302674575 |
| Mailing Telephone | 8302674575 |
| Mailing Fax Number | 8302674575 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | SCOTT STEELE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2103153305 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | L1053 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3519357-01 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 113 Pleasant Valley Dr, Suite 210, Boerne, TX 780065683 | 8302674575 | 8302674575 |
| 540 Oak Centre Dr Ste 260, San Antonio, TX 782584767 | 8302674575 | |
| 545 Creekside Xing Ste 206, New Braunfels, TX 781304565 | 8302147714 | 8302147714 |
| Street Address |
540 OAK CENTRE DR STE 260 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258-4767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891177804 | Fertility Institute of Texas, Pllc | Obstetrics & Gynecology | 540 Oak Centre Dr Ste 260, San Antonio, TX 78258-4767 | 2015-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| 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 | 78258 |
Please comment or provide details below to improve the information on CENTRIC PHYSICIANS GROUP P.L.L.C..
| 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.