ROYALTYSTAR LLC
NPI 1306414313
Nurse Practitioner - Psychiatric/Mental Health in San Antonio, TX

Q: What is Royaltystar LLC's NPI number?

The NPI number for Royaltystar LLC is 1306414313. It was assigned to this organization in the NPPES registry on June 15, 2021.

Q: What is Royaltystar LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Royaltystar LLC was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2021

710 SAN ANZA, SAN ANTONIO, TX 78260(513) 501-4177 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Royaltystar Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROYALTYSTAR LLC (NPI 1306414313) is a healthcare organization registered as a psychiatric/mental health in San Antonio, Texas and active in the NPI registry since June 2021. The organization lists Ephraim Fombo, Owner, as its authorized official.

NPPES Registry Identity

NPI1306414313

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameROYALTYSTAR LLC

Location Address710 SAN ANZASan Antonio, TX 78260-4400

Mailing Address710 San AnzaSan Antonio, TX 78260-4400

Phone(513) 501-4177

Organization SubpartNo

Authorized OfficialEphraim FomboOwner · (254) 761-0761

Enumeration DateJune 15, 2021

NPPES CertifiedJune 15, 2021

✔ NPI 1306414313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

710 SAN ANZA, San Antonio, TX 78260

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Royaltystar LLC's NPI number?

The NPI number for Royaltystar LLC is 1306414313. It was assigned to this organization in the NPPES registry on June 15, 2021.

Where is Royaltystar LLC located?

Royaltystar LLC is located at 710 San Anza, San Antonio, TX 78260. The listed phone number is (513) 501-4177.

What is Royaltystar LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Royaltystar LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Royaltystar LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Royaltystar LLC was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.