Sports Concussion Treatment Center of Texas

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

L1055 Issued in TX

Legal business name

SPORTS CONCUSSION TREATMENT CENTER OF TEXAS

Practice address

2940 FM 407
Suite 302
Highland Village, TX 75077-7045

Phone

(972) 316-9011

NPI assigned

Apr 20, 2015

Last updated

Apr 20, 2015By 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. John Gustavo Gomez, M.D.

Title

Managing Partner

Phone

(940) 231-1129

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1578950333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 FM 407",
            "address_2": "SUITE 302",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777045",
            "telephone_number": "972-316-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 FM 407",
            "address_2": "SUITE 302",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750777045",
            "telephone_number": "972-316-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS CONCUSSION TREATMENT CENTER OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GUSTAVO",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "940-231-1129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "L1055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Simon, CRNFA
• Sara Simons
• Natalie K Smith, D.M.D
• Southern Horizon Healthcare, PLLC
• Kerrigan Spangler, LPC-ASSOCIATE
• Whitney L Spraggins, FNP-C
• Springs Dialysis LLC (Highland Village Dialysis)
• St. Mary's II Center for Exceptional Children,LLC
• Charles Robert Stafford, D.C.
• Sunset Haven Hospice LLC

• Medical Specialty Clinic/Center in Highland Village, TX
• Providers in Highland Village, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.