Active NPI
Sentinel Neurology PA
- Specialist
- Houston, TX
National Provider Identifier
1104073980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryNPI 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.