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SHAVANO FAMILY PRACTICE PA
NPI 1669668083
Family Medicine in San Antonio, TX

Active since September 19, 2007CLIA 45D0993899 · Waiver
12000 HUEBNER RD, #104, SAN ANTONIO, TX 78230(210) 561-2422(210) 561-2466 Get Directions Write a Review

NPPES record last updated: December 10, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shavano Family Practice Pa NPPES

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

SHAVANO FAMILY PRACTICE PA (NPI 1669668083) is a healthcare organization registered as a family medicine in San Antonio, Texas and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Mitchell Frank Finnie, President, as its authorized official.

NPPES Registry Identity

NPI1669668083
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHAVANO FAMILY PRACTICE PA
Location Address12000 HUEBNER RD, #104San Antonio, TX 78230-1213
Mailing Address12000 Huebner Rd, #104San Antonio, TX 78230-1213 · (210) 561-2422 · Fax (210) 561-2466
Phone(210) 561-2422
Fax(210) 561-2466
Organization SubpartNo
Authorized OfficialMitchell Frank FinniePresident · (210) 561-2422
Enumeration DateSeptember 19, 2007
Last NPPES UpdateDecember 10, 2010
✔ NPI 1669668083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · J2003
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12000 HUEBNER RD, San Antonio, TX 78230
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Other Identifiers 1

Medicare UPINF33099TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0993899

Shavano Family Practice · San Antonio, TX
Active · expires Dec 19, 2027
CLIA Number45D0993899
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorMitchell F. Finnie
Laboratory Phone(210) 561-2422
Laboratory LocationShavano Family Practice12000 Huebner Suite 104, San Antonio, TX 78230
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN DAVID HIERHOLZER M.D.
Family Medicine
12000 HUEBNER RD, SUITE 104
SAN ANTONIO, TX 78230
Bexar County (210) 561-2422
EHAB ABDELAZIZ
Family Medicine
12000 HUEBNER RD
SAN ANTONIO, TX 78230
Bexar County (210) 561-2422
DR. MITCHELL FRANK FINNIE MD
Family Medicine
12000 HUEBNER RD, STE 104
SAN ANTONIO, TX 78230
Bexar County (210) 561-2422

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 Shavano Family Practice PA's NPI number?

The NPI number for Shavano Family Practice PA is 1669668083. It was assigned to this organization in the NPPES registry on September 19, 2007.

Where is Shavano Family Practice PA located?

Shavano Family Practice PA is located at 12000 Huebner Rd #104, San Antonio, TX 78230. The listed phone number is (210) 561-2422.

What is Shavano Family Practice PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Shavano Family Practice PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0993899) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shavano Family Practice PA 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 list Shavano Family Practice PA 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 Shavano Family Practice PA was last updated on December 10, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.