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

Kennedy Michael Tlaseca, MD

Individual provider Family Medicine Physician · NPI 1639604069

Kennedy Michael Tlaseca, MD is a Family Practice in San Antonio, Texas. Qualified in 2017, 9 years ago. Practices with Community Medicine Associates, a 589-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1055 Ada St
San Antonio, TX 78223-1703
Phone: (210) 358-5515
Fax: (210) 358-5530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence S6963 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Pediatrics Physician Taxonomy 208000000X · Licence S6963 (TX)

Record details

NPI number1639604069
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2017
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing addressPo Box 734812, Dallas, TX 75373-4812

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Community Medicine Associates — 589 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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