OrganizationActive
Independent Au Agency
NPI 1770030165 · Point of Service · San Antonio, TX
Provider details
- NPI number
- 1770030165
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Elizabeth Kutas, Billing Specialist(210) 727-0099
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1212 West Avenue
San Antonio, TX 78201
Phone: (210) 727-0099
Fax: (210) 855-7974
Street-level locationGet directions
Mailing address
1212 West Avenue
San Antonio, TX 78201
Registry dates
- Enumerated
- 2016-09-02
- Last updated
- 2022-03-09
- Certified
- 2022-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.