1417073941 NPI number — MARCIA NAPIER

Table of content: (NPI 1417073941)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417073941 NPI number — MARCIA NAPIER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARCIA NAPIER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417073941
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/14/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1919 OAKWELL FARMS PKWY
Provider Second Line Business Mailing Address:
STE 110
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78218-1726
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-824-0067
Provider Business Mailing Address Fax Number:
210-821-3727

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1919 OAKWELL FARMS PKWY
Provider Second Line Business Practice Location Address:
STE 110
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78218-1726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-824-0067
Provider Business Practice Location Address Fax Number:
210-821-3727
Provider Enumeration Date:
03/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
NAPIER
Authorized Official First Name:
MARCIA
Authorized Official Middle Name:
Authorized Official Title or Position:
SPEECH AND LANGUAGE PATHOLOGIST
Authorized Official Telephone Number:
210-824-0067

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  11172 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5612601 . This is a "AETNA PROVIDER NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0052QA . This is a "BLUECROSS/BLUESHIELDTX" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 9255579 . This is a "CIGNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 004774801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2746317 . This is a "UNITEDHEALTHCARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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