Impedance PLLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

IMPEDANCE PLLC

Practice address

18756 Stone Oak Pkwy
Ste 200
San Antonio, TX 78258-4790

Phone

(866) 374-6628

Fax

(866) 951-1120

NPI assigned

Nov 25, 2014

Organization subpart

No

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

Authorized official

Name

Kelly McClintock

Title

Compliance Officer

Phone

(866) 374-6628

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1073910691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18756 STONE OAK PKWY",
            "address_2": "STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584790",
            "telephone_number": "866-374-6628",
            "fax_number": "866-951-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18756 STONE OAK PKWY",
            "address_2": "STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584790",
            "telephone_number": "866-374-6628",
            "fax_number": "866-951-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPEDANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "MCCLINTOCK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "866-374-6628"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Impact Behavior Health Services LLC.
• Impact Counseling and Consulting LLC
• Impact Infusion Care, LLC.
• Impact Medical Services, PA
• Impact Urgent Care
• Natasha Impink-Hernandez, DDS
• Implant Concierge, LLC
• Improve Everyday PLLC
• Impulse Diagnostics TX Inc
• Impulse Inc

• Electroneurodiagnostic Specialist/Technologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.