Organization Active NPI

South Central Texas Neurology PLLC

  • Neurology Physician
  • Seguin, TX
National Provider Identifier
1033370895
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
M8849 Issued in TX
Legal business name
SOUTH CENTRAL TEXAS NEUROLOGY PLLC
Practice address
1331 E Court St
Suite 230
Seguin, TX 78155-5138
Phone
(830) 379-4422
Fax
(830) 379-4424
NPI assigned
Jun 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michelle Moon, DONPI 1659427268
Title
DO/Owner
Phone
(830) 379-4422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X M8849 TX Primary

Addresses

Primary practice location

1331 E Court St
Suite 230
Seguin, TX 78155-5138

Mailing address

1331 E Court St
Suite 230
Seguin, TX 78155-5138
Phone (830) 379-4422

National Provider Directory

National Provider Directory

Locations

1331 E Court St
Ste 230
Seguin, TX 78155
Phone (830) 379-4422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1033370895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 E COURT ST",
            "address_2": "SUITE 230",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555138",
            "telephone_number": "830-379-4422",
            "fax_number": "830-379-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 E COURT ST",
            "address_2": "SUITE 230",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555138",
            "telephone_number": "830-379-4422",
            "fax_number": "830-379-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL TEXAS NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "830-379-4422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M8849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.