Functional Neurorestoration Institute PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M7159 Issued in TX

Legal business name

FUNCTIONAL NEURORESTORATION INSTITUTE PLLC

Practice address

8401 Datapoint Dr Ste 900
San Antonio, TX 78229-5385

Phone

(210) 301-0125

NPI assigned

Apr 2, 2018

Last updated

Apr 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marlon P Quinones, MDNPI 1700083797

Title

Member

Phone

(210) 301-0125

Specialties & licenses 2

Addresses

Locations

Practitioners 5

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.

• Marlon P. Quinones, M.D.

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1700083797
  NPD Authorized official
• Wardell Brian Hollis, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alamo Heights, TX
  • NPI 1114440195
  NPD (past)
• Kyle D. Ransom, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
  • NPI 1821511627
  NPD (past)
• Safa Rubaye, MD

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1194143859
  NPD (past)
• Lannie Larose Thomas

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, TX
  • NPI 1831730027

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1245736024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 DALROCK RD",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884402",
            "telephone_number": "972-526-5444",
            "fax_number": "972-402-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR STE 900",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295385",
            "telephone_number": "210-301-0125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 E Tyler Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785509101",
            "country_code": "US",
            "telephone_number": "210-301-0125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Datapoint Dr Ste 855",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782295903",
            "country_code": "US",
            "telephone_number": "210-301-0125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Datapoint Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782295907",
            "country_code": "US",
            "telephone_number": "210-301-0125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4521 S Hulen St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761094954",
            "country_code": "US",
            "telephone_number": "817-230-4680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUNCTIONAL NEURORESTORATION INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "210-301-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "M7159",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M7159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Fulton
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• Zachary D. Fulton, M.D.
• Tristan Fun, MD
• Functional Aim Chiropractic
• Functional Rd, LLC
• Functional Solutions Therapy Services
• Fundamental Health, LLC
• Fundamental Medical Supplies LLC
• Ariel Latonio Fundano

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.