| NPI | 1194908285 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-12-11 |
| Last Updated | 2024-06-17 |
| Authorized Official | Sudhir Gogu Physician Phone: 2104816060 |
| Mailing Address | 104 Gallery Cir Ste 114 San Antonio, TX 78258-3330 United States Phone: (210) 481-6060 | Fax: (210) 481-6068 📍 View Map |
| Primary Practice Address | 104 Gallery Cir Ste 114 San Antonio, TX 78258-3330 United States Phone: (210) 481-6060 | Fax: (210) 481-6068 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 1194908285 | - |
| Other (non-Medicare) | TX | ========= | TAX ID |
| Other (non-Medicare) | TX | H19945 | UPIN |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | TX | L0209 |
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About NPI 1194908285
Southern Urgent Care Center L.p is an organization registered in the CMS NPPES NPI Registry with NPI number 1194908285. The primary specialty listed is Family Medicine. The organization is located in San Antonio, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-12-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1194908285?
NPI 1194908285 belongs to Southern Urgent Care Center L.p, a Family Medicine in San Antonio, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1194908285 active?
The current status of NPI 1194908285 in the NPPES registry is Active. The record was last updated on 2024-06-17.
What specialty is NPI 1194908285?
NPI 1194908285 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1194908285?
You can verify NPI 1194908285 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1194908285?
The primary practice address on file for NPI 1194908285 is 104 Gallery Cir Ste 114, San Antonio, TX 78258-3330. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1194908285 issued?
NPI 1194908285 was first issued (enumerated) on 2007-12-11. The NPPES record was last updated on 2024-06-17.
Practice Location Map
Southern Urgent Care Center L.p is located at 104 Gallery Cir Ste 114, San Antonio, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Southern Urgent Care Center L.p. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1194908285. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | L0209 | TX |