Organization Active NPI

Epilepsy Foundation Central & South Texas

  • Specialist
  • Laredo, TX
National Provider Identifier
1720104821
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EPILEPSY FOUNDATION CENTRAL & SOUTH TEXAS
Practice address
904 Corpus Christi St
Laredo, TX 78040-5277
Phone
(210) 653-5353
Fax
(210) 653-5355
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sindi J. Rosales
Title
Executive Director
Phone
(210) 653-5353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

904 Corpus Christi St
Laredo, TX 78040-5277

Mailing address

10615 Perrin Beitel Rd Ste 602
San Antonio, TX 78217-3142
Phone (210) 653-5353

National Provider Directory

National Provider Directory

Locations

10615 Perrin Beitel Rd
#602S
San Antonio, TX 78217

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720104821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 PERRIN BEITEL RD STE 602",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173142",
            "telephone_number": "210-653-5353",
            "fax_number": "210-653-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CORPUS CHRISTI ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405277",
            "telephone_number": "210-653-5353",
            "fax_number": "210-653-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPILEPSY FOUNDATION CENTRAL & SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "SINDI",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "210-653-5353"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.