Organization Active NPI

Texas Association of Pediatric Neurology, PA

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • San Antonio, TX
National Provider Identifier
1124246103
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jul 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Dr. Jerry J Tomasovic, MDNPI 1457399081
Title
Owner
Phone
(210) 615-2333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0008X G7730 TX Primary

Addresses

Primary practice location

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

Mailing address

PO Box 34713
San Antonio, TX 78265-4713
Phone (210) 615-2333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • 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.