Organization Active NPI

Alamo City Neurodiagnostics, PLLC

  • Electrodiagnostic Medicine Physician
  • San Antonio, TX
National Provider Identifier
1225421829
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
Legal business name
ALAMO CITY NEURODIAGNOSTICS, PLLC
Practice address
14439 NW Military Highway
Ste 108 #301
San Antonio, TX 78231-1648
Phone
(210) 714-5496
Fax
(210) 598-2816
NPI assigned
Mar 6, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lizette Morin
Title
MDMS Npi Compliance Officer
Phone
(210) 598-2801

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X
Electrodiagnostic Medicine Physician 204R00000X Primary

Addresses

Primary practice location

14439 NW Military Highway
Ste 108 #301
San Antonio, TX 78231-1648

Mailing address

14439 NW Military Highway
Ste 108 #301
Shavano Park, TX 78231-1648
Phone (210) 714-5496

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225421829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14439 NW MILITARY HIGHWAY",
            "address_2": "STE 108 #301",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311648",
            "telephone_number": "210-714-5496",
            "fax_number": "210-598-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14439 NW MILITARY HIGHWAY",
            "address_2": "STE 108 #301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311648",
            "telephone_number": "210-714-5496",
            "fax_number": "210-598-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO CITY NEURODIAGNOSTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "LIZETTE",
        "authorized_official_title_or_position": "MDMS NPI COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "210-598-2801"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "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 21, 2022; 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.