Sa Child Neurological Association, PLLC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

J7741 Issued in TX

Legal business name

SA CHILD NEUROLOGICAL ASSOCIATION, PLLC

Practice address

7254 Blanco Rd Ste 104
San Antonio, TX 78216-4930

Phone

(210) 816-3837

NPI assigned

Feb 28, 2017

Organization subpart

No

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

Authorized official

Name

Jose L Aceves, M.D.

Title

President

Phone

(210) 816-3837

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1639619380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7254 BLANCO RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164930",
            "telephone_number": "210-816-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 BLANCO RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164930",
            "telephone_number": "210-816-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA CHILD NEUROLOGICAL ASSOCIATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "ACEVES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-816-3837",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "J7741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology with Special Qualifications in Child Neurology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.