Organization Active NPI

Sentinel Neurology PA

  • Specialist
  • Houston, TX
National Provider Identifier
1104073980
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SENTINEL NEUROLOGY PA
Practice address
530 Wells Fargo Dr
Suite 112
Houston, TX 77090-4044
Phone
(281) 440-3500
Fax
(281) 440-3504
NPI assigned
Aug 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Matthew Cubbage, MD
Title
Manager
Phone
(281) 970-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

530 Wells Fargo Dr
Suite 112
Houston, TX 77090-4044

Mailing address

16131 N Eldridge Parkway
Suite 200
Tomball, TX 77377
Phone (281) 440-3500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1104073980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16131 N ELDRIDGE PARKWAY",
            "address_2": "SUITE 200",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77377",
            "telephone_number": "281-440-3500",
            "fax_number": "281-440-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 WELLS FARGO DR",
            "address_2": "SUITE 112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770904044",
            "telephone_number": "281-440-3500",
            "fax_number": "281-440-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTINEL NEUROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "CUBBAGE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-970-5900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.