Texas Association of Pediatric Neurology, PA

Primary specialty

Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X

License

G7730 Issued in TX

Legal business name

TEXAS ASSOCIATION OF PEDIATRIC NEUROLOGY, PA

Practice address

525 Oak Centre Dr
Suite #400
San Antonio, TX 78258-3944

Phone

(210) 615-2333

Fax

(210) 490-5024

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerry J Tomasovic, MD

Title

Owner

Phone

(210) 615-2333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Charles T Gay, M.D.

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1033189022
  NPD (past)
• Tonia M Sabo, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Dallas, TX
  • NPI 1487739132
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1124246103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34713",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782654713",
            "telephone_number": "210-615-2333",
            "fax_number": "210-490-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OAK CENTRE DR",
            "address_2": "SUITE #400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583944",
            "telephone_number": "210-615-2333",
            "fax_number": "210-490-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ASSOCIATION OF PEDIATRIC NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "TOMASOVIC",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-615-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "TX",
            "license": "G7730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095077602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neuromuscular Medicine (Psychiatry & Neurology) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Neuromuscular Medicine (Psychiatry & Neurology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.