Active NPI
Guadalupe Valley Neurology and Electrodiagnostics,P a
- Specialist
- Seguin, TX
National Provider Identifier
1194816579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- J7226
- Legal business name
- GUADALUPE VALLEY NEUROLOGY AND ELECTRODIAGNOSTICS,P A
- Practice address
- 634 E Court St
Ste 102
Seguin, TX 78155-5725 - Phone
- (830) 303-1819
- NPI assigned
- Sep 28, 2006
- Last updated
- Apr 16, 2021
- 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
- Ms. Virginia Maldonado
- Title
- Office Manager
- Phone
- (210) 403-2074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | J7226 | TX | Primary |
Addresses
Primary practice location
634 E Court St
Ste 102
Seguin, TX 78155-5725
Mailing address
115 Gallery Cir Ste 300
San Antonio, TX 78258-3389
Phone (210) 403-2074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099550802 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
115 Gallery Cir
Ste 300
San Antonio, TX 78258
Phone (210) 654-7246
634 E Court St
Seguin, TX 78155
Phone (210) 303-1819
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Specialist
- Seguin, TX
- NPI 1023078250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618531200000",
"number": "1194816579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 GALLERY CIR STE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583389",
"telephone_number": "210-403-2074",
"fax_number": "210-403-2078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 E COURT ST",
"address_2": "STE 102",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555725",
"telephone_number": "830-303-1819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUADALUPE VALLEY NEUROLOGY AND ELECTRODIAGNOSTICS,P A",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A",
"authorized_official_last_name": "MALDONADO",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "210-403-2074",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "J7226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099550802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seguin, TX
- Guadalupe Regional Infuison Center
- Guadalupe Regional Medical Group
- Guadalupe Valley Christian Counseling Center, Inc.
- Guadalupe Valley Emergency Phyisicans Organization (Emergency Phyisicans Organization)
- Guadalupe Valley Medical Center, LP
- Guadalupe Valley Nursing Center,LP
- Guadalupe Valley Radiology, P.a.
- Guadalupe Valley Women's Health Care Center, PA
- Lauren Guerin, D.C.
- Sidhanta Gurung, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.