Organization Active NPI

South Texas Neurological Center, P.a.

  • Neurology Physician
  • McAllen, TX
National Provider Identifier
1437194875
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H1627 Issued in TX
Legal business name
SOUTH TEXAS NEUROLOGICAL CENTER, P.A.
Practice address
1910 S 1St St
Suite 200
McAllen, TX 78503-1255
Phone
(956) 687-7885
Fax
(956) 687-3101
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Ruy Mireles, M.D.
Title
President/Owner
Phone
(956) 687-7885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X H1627 TX Primary

Addresses

Primary practice location

1910 S 1St St
Suite 200
McAllen, TX 78503-1255

Mailing address

1910 S 1St St
Suite 200
McAllen, TX 78503-1255
Phone (956) 687-7885

Other identifiers 2

IdentifierTypeStateIssuer
0016GNOtherTXBLUE CROSS/SHIELD OF TEXA
032736301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140819000364 TX Part B Supplier - Clinic/Group Practice 2466679204 Receives reassigned benefits from 2 practitioners
Practice locations: McAllen, TX

National Provider Directory

National Provider Directory

Locations

1910 S 1st St
Ste 200
McAllen, TX 78503
Phone (956) 687-7885

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1437194875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S 1ST ST",
            "address_2": "SUITE 200",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031255",
            "telephone_number": "956-687-7885",
            "fax_number": "956-687-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S 1ST ST",
            "address_2": "SUITE 200",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031255",
            "telephone_number": "956-687-7885",
            "fax_number": "956-687-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS NEUROLOGICAL CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "MIRELES",
        "authorized_official_first_name": "RUY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "956-687-7885",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H1627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD OF TEXA",
            "identifier": "0016GN",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032736301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.

Verify at the official NPI Registry.