Active NPI
Spineguard, PLLC
- Clinical Neurophysiology Physician
- San Antonio, TX
National Provider Identifier
1700240678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- Legal business name
- SPINEGUARD, PLLC
- Practice address
- 325 E Sonterra Blvd Suite 110
San Antonio, TX 78258 - Phone
- (210) 714-5552
- NPI assigned
- Apr 7, 2016
- 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
- Felicia Alderete
- Title
- Legal Operations Manager
- Phone
- (210) 598-2801
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | |||
| Neurology Physician | 2084N0400X | |||
| Clinical Neurophysiology Physician | 2084N0600X | Primary | ||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X |
Addresses
Primary practice location
325 E Sonterra Blvd Suite 110
San Antonio, TX 78258
Mailing address
MSC 009 PO Box 4914
Houston, TX 77210-4914
Phone (210) 714-5552
National Provider Directory
National Provider DirectoryLocations
325 E Sonterra Blvd
Ste 110
San Antonio, TX 78258
Phone (210) 402-1222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619481600000",
"number": "1700240678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MSC 009 PO BOX 4914",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104914",
"telephone_number": "210-714-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E SONTERRA BLVD SUITE 110",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78258",
"telephone_number": "210-714-5552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINEGUARD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-07",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A",
"authorized_official_last_name": "ALDERETE",
"authorized_official_first_name": "FELICIA",
"authorized_official_title_or_position": "LEGAL OPERATIONS MANAGER",
"authorized_official_telephone_number": "210-598-2801"
},
"taxonomies": [
{
"code": "204R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Electrodiagnostic Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "246ZE0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Kristina Michelle Spindel, AGACNP-BC
- Spine Care & Pain Management of San Antonio LLC (Vertex Pain Physicians)
- Spine Care & Pain Management of San Antonio LLC
- Spine Care & Pain Management of San Antonio LLC
- Spine Cin of West Texas LLC
- Tamarah S Spink, R.PH.
- Spire Medical Management, Inc
- Richard Spitz, M.D.
- Robert Loren Spitzmesser, ATP
- Lisa Spivey, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.