Organization Active NPI

Neurology & Neurophysiology, PA

  • Neurology Physician
  • San Antonio, TX
National Provider Identifier
1164510392
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY & NEUROPHYSIOLOGY, PA
Practice address
2425 Babcock Rd
Suite 111
San Antonio, TX 78229-4895
Phone
(210) 614-5242
Fax
(210) 614-3076
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Dr. Thimios Partalas
Title
Administrator
Phone
(210) 798-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2425 Babcock Rd
Suite 111
San Antonio, TX 78229-4895

Mailing address

2425 Babcock Rd
Suite 111
San Antonio, TX 78229-4895
Phone (210) 614-5242

Other identifiers 1

IdentifierTypeStateIssuer
2686HMOtherTXBLUE CROSS/BLUE SHILED TX

Other names 1

  • Neuro-Neuro Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1164510392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BABCOCK RD",
            "address_2": "SUITE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294895",
            "telephone_number": "210-614-5242",
            "fax_number": "210-614-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BABCOCK RD",
            "address_2": "SUITE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294895",
            "telephone_number": "210-614-5242",
            "fax_number": "210-614-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY & NEUROPHYSIOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "PARTALAS",
        "authorized_official_first_name": "THIMIOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-798-7246",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHILED TX",
            "identifier": "2686HM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuro-Neuro",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 4, 2008; 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.