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NPI 1447932793ActiveOrganization· General Practice· San Antonio, TX
General Practice in San Antonio, Texas, registered in NPPES in August 2023. The authorized official on file is Spencer Clark, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1447932793 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 7, 2023 |
| Last updated in NPPES | Aug 29, 2025 |
| Certified by provider | Aug 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Specialist | 174400000X | — | — |
| Podiatrist | 213E00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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