MRS. BLANCA AZUCENA MACIAS


Address: 111 Dallas St, San Antonio, TX 78205-1201
Phone: 2102977000

MRS. BLANCA AZUCENA MACIAS (NPI# 1457821290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457821290
Entity Type Individual
Full Name MRS. BLANCA AZUCENA MACIAS
Credential AGACNP-BC
Practice Address 111 Dallas St
San Antonio
TX 78205-1201
Mailing Address 122 Tesla Dr
San Antonio
TX 78228-6048
Practice Telephone 2102977000
Mailing Telephone 2108850695
Enumeration Date 2018-12-04
Last Update Date 2020-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
AP139582 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
122 Tesla Dr, San Antonio, TX 782286048 2108850695

Office Location

Street Address 111 DALLAS ST
City SAN ANTONIO
State TX
Zip Code 78205-1201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063412666 Select Specialty Hospital - San Antonio Inc Long Term Care Hospital 111 Dallas St, 4th Fl, San Antonio, TX 78205-1201 2005-07-26
1366040487 Charlene Devyn Anderson Nurse Practitioner 111 Dallas St, San Antonio, TX 78205-1201 2020-10-12
1043832777 Briana Rochelle Garza Occupational Therapist 111 Dallas St, San Antonio, TX 78205-1201 2020-05-15
1477182186 Lu Ge Pharmacist 111 Dallas St, San Antonio, TX 78205-1201 2020-04-04
1629621909 Shawn Timothy Woodland Occupational Therapist 111 Dallas St, 4th Floor Building C, San Antonio, TX 78205 2019-07-16
1801376637 Matthew Joseph Kraus Occupational Therapist 111 Dallas St, San Antonio, TX 78205-1201 2018-08-21
1174002208 Hospitalist Medicine Physicians of Texas - San Antonio, Pllc Internal Medicine 111 Dallas St, San Antonio, TX 78205-1201 2018-08-09
1639661820 Ashley Nicole Brown Nurse Practitioner 111 Dallas St, San Antonio, TX 78205 2018-06-04
1639689193 Baptist Diagnostics, LLC Clinical Medical Laboratory 111 Dallas St, San Antonio, TX 78205-1201 2017-10-10
1336668524 Debra A Vasquez Md, Pllc Internal Medicine 111 Dallas St, San Antonio, TX 78205-1201 2017-09-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144862947 Xeras Medical Technologies, Inc. Durable Medical Equipment & Medical Supplies 315 E. Commerce Street Suite 203, San Antonio, TX 78205 2019-10-13
1538631676 Olga Skirda Physician Assistant 610 North Main Avenue, San Antonio, TX 78205 2018-12-31
1508381757 Davis Vision Inc Eyewear Supplier (Equipment, not the service) 175 E Houston, San Antonio, TX 78205 2017-08-09
1841647138 Karen Tanguma Counselor 700 North St. Mary's Street, Suite 1400, San Antonio, TX 78205 2016-05-17
1346652500 Lone Star Script Care LLC Case Management 310 S. S Mary's St, 1290, San Antonio, TX 78205 2014-05-22
1821227919 Teresa Yanhong Chen Optometrist 175 East Houston St, Visionworks, San Antonio, TX 78205 2009-07-09
1164650735 Mark Joseph Trevino Ophthalmology 414 Navarro St Ste 400, San Antonio, TX 78205 2009-06-23
1386882520 Nicolas A. Melgarejo Internal Medicine 343 W. Houston St., Suite #808, San Antonio, TX 78205 2009-01-26
1518135904 Khan Z Shirani Emergency Medicine 414 Navarro St Ste 500, San Antonio, TX 78205 2008-02-19
1619076700 Candace Lynese Bellamy Family Medicine 221 3rd St. West, San Antonio, TX 78205 2006-09-22
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235737941 Barton Skinner Nurse Practitioner 17806 W I-10, Suite 300, San Antonio, TX 78257 2020-10-14
1063053072 Blas Edward Villa Nurse Practitioner 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 2019-10-01
1427619675 Divina G Buccellato Nurse Practitioner 3070 Colorado Cv, San Antonio, TX 78253-6294 2019-06-27
1194298844 Taylor Phillips Johnson Nurse Practitioner 805 W Woodlawn Ave, San Antonio, TX 78212-3355 2019-01-05
1568947505 Zachary Taliaferro Nurse Practitioner 4204 Gardendale St Ste 312, San Antonio, TX 78229-3141 2018-09-25
1891292181 Amy Michelle Olvera Nurse Practitioner 225 E Sonterra Blvd Ste 201, San Antonio, TX 78258 2018-04-12
1114429982 Neil Vito Loma Dolotina Nurse Practitioner 10455 Horn Blvd, San Antonio, TX 78240-2590 2018-03-07
1386156776 Connie Cortina Reyes Nurse Practitioner 14510 Triple Crown Ln, San Antonio, TX 78248-2502 2017-10-25
1407381056 Amanda Ann Rodriguez Nurse Practitioner 9140 Timber Path Apt 3002, San Antonio, TX 78250-7602 2017-04-20
1255883799 Esteban Salas Aguirre Jr. Nurse Practitioner 10439 Royal Est, San Antonio, TX 78245-3195 2016-11-01
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Competitor

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City SAN ANTONIO
Zip Code 78205

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Dataset Information

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.

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