4502 Medical Dr San Antonio, TX 78229-4402 (210) 358-4000
Enumerated
Jun 26, 2013
Record last updated
Jul 6, 2022
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in AL, AZ, CA, CO, CT, DC, DE, FL, GA, IA, IL, IN, KY, LA, MA, ME, MN, MO, MS, MT, NE, NH, NJ, NM, NY, OH, OK, OR, PA, TN, TX, VA, VT, WV Emergency Medicine
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.