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CONVIVA MEDICAL CENTER MANAGEMENT OF TEXAS, PLLC
NPI 1972842664
Family Medicine in San Antonio, TX

Active since January 31, 2013CLIA Certified · 21 labs
18414 US HIGHWAY 281 N STE 104, SAN ANTONIO, TX 78259(210) 495-0222(210) 495-5914 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2025, Oct 19, 2020, Jan 30, 2020 and 3 more (6 updates tracked since 2018).

About Conviva Medical Center Management Of Texas, Pllc NPPES

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

CONVIVA MEDICAL CENTER MANAGEMENT OF TEXAS, PLLC (NPI 1972842664), doing business as Conviva Care Center, is a healthcare organization registered as a family medicine in San Antonio, Texas and active in the NPI registry since January 2013. The organization holds 21 active CLIA laboratory certificates, maintains 8 additional practice locations, and lists Gioany Bacon-williams, Director, Provider Contracting, as its authorized official.

NPPES Registry Identity

NPI1972842664
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCONVIVA MEDICAL CENTER MANAGEMENT OF TEXAS, PLLC
Location Address18414 US HIGHWAY 281 N STE 104San Antonio, TX 78259
Mailing Address6101 Blue Lagoon Dr Ste 400Miami, FL 33126-2051 · (305) 500-2000
Phone(210) 495-0222
Fax(210) 495-5914
Organization SubpartYes
Authorized OfficialGioany Bacon-williamsDirector, Provider Contracting · (210) 608-2110
Enumeration DateJanuary 31, 2013
Last NPPES UpdateMay 20, 20256 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1972842664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.

Also ListedGeneral PracticeTaxonomy 208D00000X
18414 US HIGHWAY 281 N STE 104, San Antonio, TX 78259
Open in Google Maps ↗

Other Names 1

Doing Business AsConviva Care Center

Secondary Practice Locations 8

Location 1917 S Port AveCorpus Christi, TX 78405-2301 · Phone (361) 887-0584 · Fax (361) 887-0586
Location 21211B E Cliff DrEl Paso, TX 79902-4734 · Phone (915) 591-6226 · Fax (915) 308-9433
Location 310435 Vista Del Sol DrEl Paso, TX 79925-7920 · Phone (915) 591-6229 · Fax (915) 206-6385
Location 41314 Guadalupe St Ste 105San Antonio, TX 78207-5582 · Phone (210) 225-4810 · Fax (210) 686-3835
Location 59727 Poteet Jourdanton Fwy Ste 108San Antonio, TX 78211-4575 · Phone (210) 923-4372 · Fax (210) 923-5581
Location 64254 S Alameda StCorpus Christi, TX 78412-2469 · Phone (361) 853-4191 · Fax (361) 853-8768
Location 71209 Highway 35 NRockport, TX 78382-3117 · Phone (361) 729-9811 · Fax (361) 729-9819
Location 81911 Rogers RdSan Antonio, TX 78251-4614 · Phone (210) 523-9933 · Fax (210) 647-0242

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

CLIA Laboratory Certificates CMS CLIA 21

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 45D0502882

Conviva Medical Center Management Of Texas PA Dba Conviva Care Center · Corpus Christi, TX
Active · expires May 10, 2028
CLIA Number45D0502882
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorAn T. Tang
Laboratory Phone(361) 853-4191
Laboratory LocationConviva Medical Center Management Of Texas PA Dba Conviva Care Center4254 S Alameda Street, Corpus Christi, TX 78412
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0509418

Conviva Medical Center Management Of Texas PA Dba Conviva Care Center · El Paso, TX
Active · expires May 10, 2028
CLIA Number45D0509418
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorClyde Clybourne
Laboratory Phone(915) 591-6229
Laboratory LocationConviva Medical Center Management Of Texas PA Dba Conviva Care Center10435 Vista Del Sol Dr, El Paso, TX 79925
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D1023179

Conviva Medical Center Management Of Texas PA Dba Conviva Care Center · San Antonio, TX
Active · expires Mar 8, 2028
CLIA Number45D1023179
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorJacquelin E. Castillo
Laboratory Phone(210) 523-9933
Laboratory LocationConviva Medical Center Management Of Texas PA Dba Conviva Care Center1911 Rogers Road, San Antonio, TX 78251
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2070575

Conviva Medical Center Management Of Texas, PA Dba Conviva Care Center · Corpus Christi, TX
Active · expires Dec 18, 2027
CLIA Number45D2070575
Laboratory TypePhysician Office
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorAn Tang
Laboratory Phone(361) 887-0584
Laboratory LocationConviva Medical Center Management Of Texas, PA Dba Conviva Care Center917 South Port Avenue, Corpus Christi, TX 78405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2062228

Conviva Medical Center Management Of Texas PA Dba Conviva Care Center · San Antonio, TX
Active · expires Jul 11, 2027
CLIA Number45D2062228
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorShannon Prevette
Laboratory Phone(210) 495-0222
Laboratory LocationConviva Medical Center Management Of Texas PA Dba Conviva Care Center18414 Us Hwy 281 North Suite 104, San Antonio, TX 78259
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D0992272

Conviva Medical Center Management Of Texas PA Dba Conviva Care Center · San Antonio, TX
Active · expires Feb 23, 2028
CLIA Number45D0992272
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorMaria Botez
Laboratory Phone(210) 923-4372
Laboratory LocationConviva Medical Center Management Of Texas PA Dba Conviva Care Center9727 Poteet Jourdanton Fwy #108, San Antonio, TX 78224
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 9

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

DR. FELICIA A. ARMSTRONG MD
Internal Medicine
18414 US HIGHWAY 281 N STE 104
SAN ANTONIO, TX 78259
Bexar County (210) 495-0224
DR. CAROL E MENZEL-ANDERSON M.D.
Internal Medicine
18414 US HIGHWAY 281 N STE 104
SAN ANTONIO, TX 78259
Bexar County (210) 495-0222
SHANNON REBECCA PREVETTE MD
Family Medicine
18414 US HIGHWAY 281 N STE 104
SAN ANTONIO, TX 78259
Bexar County (305) 500-2027
CRYSTAL DARLENE CHATMAN-BROWN APRN
Nurse Practitioner (Family)
18414 US HIGHWAY 281 N STE 104
SAN ANTONIO, TX 78259
Bexar County (210) 495-0222
DAVID MEDRANO FNP
Nurse Practitioner (Family)
18414 US HIGHWAY 281 N STE 104
SAN ANTONIO, TX 78259
Bexar County (210) 495-0222
SHELLY R NICKELS MD
Internal Medicine
18414 US HIGHWAY 281 N STE 104
SAN ANTONIO, TX 78259
Bexar County (210) 495-0224
DIEGO RODRIGO VALENCIA-CHAVEZ M.D
Internal Medicine
18414 US HIGHWAY 281 N STE 104
SAN ANTONIO, TX 78259
Bexar County (210) 495-0224
DR. JOSE FRANCISCO QUILES DIAZ M.D.
Family Medicine
18414 US HIGHWAY 281 N STE 104
SAN ANTONIO, TX 78259
Bexar County (210) 495-0222

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 Conviva Medical Center Management Of Texas, PLLC's NPI number?

The NPI number for Conviva Medical Center Management Of Texas, PLLC is 1972842664. It was assigned to this organization in the NPPES registry on January 31, 2013. The provider is doing business as Conviva Care Center.

Where is Conviva Medical Center Management Of Texas, PLLC located?

Conviva Medical Center Management Of Texas, PLLC is located at 18414 Us Highway 281 N Ste 104, San Antonio, TX 78259. The listed phone number is (210) 495-0222.

What is Conviva Medical Center Management Of Texas, PLLC's specialty?

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

Does Conviva Medical Center Management Of Texas, PLLC hold CLIA laboratory certificates?

Yes. 21 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Conviva Medical Center Management Of Texas, PLLC was last updated on May 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.