P Praxis·MD
● Active Type 1 · Individual

Kennedy Michael Tlaseca, MD

Family Medicine·San Antonio, TX· NPI 1639604069 · Enumerated 2017 · 9 years on NPI
Tlaseca is 1 of 1062 family medicine providers in San Antonio and 1 of 15966 in Texas.
NPI age
9 years
Enumerated 2017-04-24
Primary specialty
Family Medicine
Plus 2 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-12-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 15966 active family medicine providers in Texas.

NPI age
9 years
↓ 8 yr below median (17 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
2
In the 26% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-04Enumerated in NPPES
2017 2026

Where they practice

Practice location
1055 Ada St
San Antonio, TX 782231703
📞 2103585515fax 2103585530
Mailing address
Po Box 734812
Dallas, TX 753734812
📞 2103589500fax 2103589183

Specialties

  • Family Medicine Primary
    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...
    TX license #S6963 taxonomy 207Q00000X
  • Pediatrics
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    TX license #S6963 taxonomy 208000000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 35 other active providers share this practice address in NPPES.

Recently enumerated nearby: 6 new family medicine providers have been added in San Antonio in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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