Active NPI
Neuropro of Texas
- Neurology Physician
- Live Oak, TX
National Provider Identifier
1619458403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NEUROPRO OF TEXAS
- Practice address
- 12412 Judson Rd
Live Oak, TX 78233-3255 - Phone
- (210) 331-7266
- NPI assigned
- Aug 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allen Garcia
- Title
- Chief Operating Officer
- Phone
- (210) 445-5079
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
12412 Judson Rd
Live Oak, TX 78233-3255
Mailing address
11703 Huebner Rd Ste 106-402
San Antonio, TX 78230-1201
Phone (210) 331-7266
Other names 1
- San Antonio Neurohospitalist Organization
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11703 Huebner Rd
Ste 106402
San Antonio, TX 78230
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- New Braunfels, TX
- NPI 1659674760
-
- Neurology Physician
- San Antonio, TX
- NPI 1639165749
-
- Neurology Physician
- San Antonio, TX
- NPI 1104925171
-
- Acute Care Nurse Practitioner
- Richardson, TX
- NPI 1013314459
-
- Neurology Physician
- Dallas, TX
- NPI 1700833548
-
- Family Nurse Practitioner
- Boerne, TX
- NPI 1588204077
-
- Neurology Physician
- San Antonio, TX
- NPI 1093819302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695254400000",
"number": "1619458403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11703 HUEBNER RD STE 106-402",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782301201",
"telephone_number": "210-331-7266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12412 JUDSON RD",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333255",
"telephone_number": "210-331-7266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROPRO OF TEXAS",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-28",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "210-445-5079"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "San Antonio Neurohospitalist Organization",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.