PERSONALIZED PRESCRIPTION PHYSICIANS, LLC (NPI# 1720342454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720342454 |
| Entity Type | Organization |
| Organization Name | PERSONALIZED PRESCRIPTION PHYSICIANS, LLC |
| Practice Address |
7800 Ih 10 West Suite 612 San Antonio TX 78230 |
| Mailing Address |
Po Box 40116 San Antonio TX 78229-1116 |
| Practice Telephone | 2102539947 |
| Mailing Telephone | 2102539947 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |
| Authorized Official Name | DR. REGINALD EWESUEDO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2106251171 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208U00000X | Clinical Pharmacology | N2069 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
7800 IH 10 WEST SUITE 612 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224834 | Natasha Bakunda | Nurse Practitioner | Fountainhead One Tower, 8200 Ih-10 West, Ste 317, San Antonio, TX 78230 | 2020-10-30 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1861033144 | Aspasia Amtsberg | Licensed Practical Nurse | 7710 W I-10, San Antonio, TX 78230 | 2019-10-08 |
| 1841840212 | Allison Danielle Davidson | Licensed Vocational Nurse | 7710 West, I-10, San Antonio, TX 78230 | 2019-09-17 |
| 1063062800 | Dalisa Kelly Bacon | Nurse's Aide | 7710 West I 10, San Antonio, TX 78230 | 2019-09-13 |
| 1952878134 | Yvette Turner | Licensed Practical Nurse | 4951 Woodstone Dr, Apt 615 Face 2, San Antonio, TX 78230 | 2018-10-25 |
| 1396226270 | Tammy Lynn Saldana | Registered Nurse | 7710 W I10, San Antonio, TX 78230 | 2018-08-28 |
| 1891275699 | Nina Lum Fru Baumgarten | Counselor | 7710 W1h 10, San Antonio, TX 78230 | 2018-08-21 |
| 1952880833 | Rebecca N Khorram | Speech-Language Pathologist | I-10 W 10609 Frontage Rd, 105, San Antonio, TX 78230 | 2018-08-10 |
| 1770071540 | Michael Allen Kent | Counselor | Northwest Atrium, 11550 West I-10, Suite 235, San Antonio, TX 78230 | 2018-04-27 |
| Find all providers in zip 78230 | ||||
| Taxonomy Code | 208U00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Clinical Pharmacology |
| Clinical pharmacology encompasses the spectrum of activities related to the discovery, development, regulation, and utilization of safe and effective drugs. |
| Notes: Source: American Society for Clinical Pharmacology and Therapeutics, 2008 [7/1/2008: modified definition] Additional Resources: Clinical pharmacology is a recognized fellowship program for physicians, pharmacists, and post-doctoral researchers delivered through medical education institutions accredited by the American Board of Clinical Pharmacology. http://www.ascpt.org/; American Board of Clinical Pharmacology http://www.abcp.net/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230252 | Lovina O Irielle | Clinical Pharmacology | 3614 Bill Price Rd Bldg 12del, Del Valle, TX 78617-3630 | 2020-09-23 |
| 1275851222 | Jeffrey D Lazar | Clinical Pharmacology | 107 Nautilus Ave, Lakeway, TX 78738-1005 | 2010-05-13 |
| 1831723873 | Jason Yeh | Clinical Pharmacology | 1515 Holcombe Blvd, Houston, TX 77030-4000 | 2020-02-28 |
| 1164079752 | Derek Smith | Clinical Pharmacology | One Medical Plaza, Pampa, TX 79065 | 2019-08-20 |
| 1972083053 | Samoeun Anthony Seun | Clinical Pharmacology | 2020 Heights Dr, Harker Heights, TX 76548-2000 | 2018-08-17 |
| 1164407433 | Gwendolyn H Thompson | Clinical Pharmacology | 3851 Roger Brooke Dr, Mche Qd Creds, Fort Sam Houston, TX 78234-6200 | 2005-12-09 |
| City | SAN ANTONIO |
| Zip Code | 78230 |
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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.