Organization · Type 2 NPI

Black-Pearl Medical LLC

Point of Service · San Antonio, TX

NPI number 1629963780 Active

Practice location

12407 Walthampton St
San Antonio, TX 78216-2944

Call (316) 992-0034 Map

Mailing address

8521 Blanco Rd Ste 2
San Antonio, TX 78216-3069

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1629963780

Black-Pearl Medical LLC's National Provider Identifier is 1629963780, issued on Jun 10, 2025. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in San Antonio, TX. The record was last updated on Jul 29, 2026.