Headache Clinic of San Antonio LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HEADACHE CLINIC OF SAN ANTONIO LLC

Practice address

6333 De Zavala Rd Ste A250
San Antonio, TX 78249-2115

Phone

(210) 727-7364

Fax

(817) 890-9449

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

Anna L. Castro

Title

Owner

Phone

(210) 727-7364

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1508432121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18523 GOLDEN MAIZE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782581647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 DE ZAVALA RD STE A250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492115",
            "telephone_number": "210-727-7364",
            "fax_number": "817-890-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADACHE CLINIC OF SAN ANTONIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-727-7364"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HCA Healthcare Laboratory Services San Antonio LLC
• Kai He, MD, PHD
• Head Over Heart Counseling, PLLC
• Brandy Head, LCSW
• Headache and Migraine Institute of Texas, P.a.
• Keya Neely Headen
• Derrick Anthony Heaggans
• Heal and Restore Physical Therapy PLLC
• Tamra Heald, IBCLC
• Christopher Scott Healey, MD

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.