Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Apotheosis Medical Group, PLLC

Organization Family Medicine Physician · NPI 1417763269

Apotheosis Medical Group, PLLC is a Family Medicine Physician in San Antonio, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6523 Moss Oak Dr
San Antonio, TX 78229-4221
Phone: (409) 201-9655
Fax: (210) 200-8390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1417763269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Baeke — President · (210) 665-4199
NPI enumeratedDecember 6, 2024
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026
Mailing addressPo Box 40338, San Antonio, TX 78229-1338

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