Organization Active NPI

Grmnm, PLLC

  • Clinical Neurophysiology Physician
  • San Antonio, TX
National Provider Identifier
1386977064
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
GRMNM, PLLC
Practice address
10730 Potranco Rd
Ste 122 #195
San Antonio, TX 78251-3330
Phone
(210) 714-5504
NPI assigned
Sep 11, 2009
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

10730 Potranco Rd
Ste 122 #195
San Antonio, TX 78251-3330

Mailing address

10730 Potranco Rd
Ste 122 #195
San Antonio, TX 78251-3330
Phone (210) 714-5504

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386977064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 POTRANCO RD",
            "address_2": "STE 122 #195",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513330",
            "telephone_number": "210-714-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 POTRANCO RD",
            "address_2": "STE 122 #195",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513330",
            "telephone_number": "210-714-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRMNM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "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.