Basic Information
| Provider Information | |||||||||
| NPI: | 1770524340 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ADAMS | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | Q | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1355 CENTRAL S PKWY 400 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782325055 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2103499300 | ||||||||
| FaxNumber: | 2103662558 | ||||||||
| Practice Location | |||||||||
| Address1: | 7940 FLOYD CURL DR | ||||||||
| Address2: | SUITE 900 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782293905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106141000 | ||||||||
| FaxNumber: | 2106151236 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 07/26/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | J6295 | TX | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 284016701 | 05 | TX | MEDICAID |