MEDICARE: TXRX LLC DBA FIESTARX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1053285692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TXRX LLC DBA FIESTARX

Provider Business Mailing Address
First Line	:	102 PALO ALTO RD STE 240
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78211-3758
Country	:	US
Telephone Number	:	210-201-4517
Fax Number	:	210-281-4026

Provider Business Practice Location Address
First Line	:	102 PALO ALTO RD STE 240
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78211-3758
Country	:	US
Telephone Number	:	210-201-4517
Fax Number	:	210-281-4026

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	JODY R WELCHANS
Credential	:	RPH
Telephone Number	:	210-227-7207

Provider Enumeration Date	:	10/04/2025
Last Update Date	:	12/16/2025

Similar Medicare Providers

1487658050 — RGV-NUECES REHABILITATION, INC.
Practice Location Address:

102 PALO ALTO RD , SUITE 465
SAN ANTONIO, TX
78211-3758

Practice Phone: 210-921-2111
Practice Fax: 210-921-2444

1811994601 — PRAKASH R NANCHERLA MD
Practice Location Address:

102 PALO ALTO RD , SUITE 200
SAN ANTONIO, TX
78211-3758

Practice Phone: 210-403-0765
Practice Fax: 210-547-9270

1255307120 — DR. LYDIA APPIAH-DWAMENA MD
Practice Location Address:

102 PALO ALTO RD , SUITE 230
SAN ANTONIO, TX
78211-3758

Practice Phone: 210-922-3331
Practice Fax: 210-922-3339

1730136896 — HALEKOTE N KUMARA M.D.
Practice Location Address:

102 PALO ALTO RD , SUITE 133
SAN ANTONIO, TX
78211-3758

Practice Phone: 210-921-2011
Practice Fax: 210-923-9202

1710926233 — DR. RONALD D WONG M.D.
Practice Location Address:

102 PALO ALTO RD , SUITE 125
SAN ANTONIO, TX
78211-3758

Practice Phone: 210-924-7158
Practice Fax: 210-924-4642

1093805863 — RAJEEV NARAYAN M.D.
Practice Location Address:

102 PALO ALTO RD , SUITE 200
SAN ANTONIO, TX
78211-3758

Practice Phone: 210-403-0765
Practice Fax: 210-547-9270

Directions to “TXRX LLC DBA FIESTARX ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.