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TEXAS ASSOCIATION OF PEDIATRIC NEUROLOGY PA NPI 1124246103


NPI Information

NPI: 1124246103
Provider Name: TEXAS ASSOCIATION OF PEDIATRIC NEUROLOGY, PA
Classification: Psychiatry & Neurology - 2084N0008X
Entity Type: Organization

Specialization: Neuromuscular Medicine

Address:
525 OAK CENTRE DR
SUITE #400
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 615-2333
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TEXAS ASSOCIATION OF PEDIATRIC NEUROLOGY, PA is a neuromuscular medicine psychiatry neurology in San Antonio, TX. The provider is a neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome). TEXAS ASSOCIATION OF PEDIATRIC NEUROLOGY, PA NPI is 1124246103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

525 OAK CENTRE DR
SUITE #400
SAN ANTONIO, TX
ZIP 78258-944
Phone: (210) 615-2333
Fax: (210) 490-5024

The provider's authorized official is Jerry J Tomasovic .
The authorized official title is Owner and has the following contact phone number (210) 615-2333.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 7/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0008XPsychiatry & NeurologyNeuromuscular MedicineG7730TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B27022MEDICARE UPINTEXAS
28671K0MEDICARE ID-TYPE UNSPECIFIEDTEXAS
3095077602MEDICAIDTEXAS
400891NMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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