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

University of the Incarnate Word

Organization Family Medicine Physician · NPI 1780057513

University of the Incarnate Word is a Family Medicine Physician in San Antonio, Texas. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3

Practice location Address checks out

4301 Broadway St # 288
San Antonio, TX 78209-6318
Phone: (210) 283-6481
Fax: (210) 634-1252
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Family Medicine Physician Taxonomy 207Q00000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X

Record details

NPI number1780057513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bj Lough — Associate Athletic Dir Sport Med · (210) 283-6481
Other names University Of The Incarnate Word Sports Medicine; University Of The Incarnate Word Sports Medicine
NPI enumeratedNovember 2, 2015
Last updated in NPPESOctober 2, 2018
Mailing address4301 Broadway St # 288, San Antonio, TX 78209-6318

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