Southside Neurology, PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SOUTHSIDE NEUROLOGY, PA

Practice address

7355 Barlite Blvd
Ste 101
San Antonio, TX 78224-1342

Phone

(210) 333-1477

NPI assigned

Jan 8, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Sandy R Dittmar, MBA, MHA

Title

Administrator

Phone

(210) 614-3009

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Douglas Lu, DC, PT, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1013925130
  NPD (past)

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1720318033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BABCOCK RD",
            "address_2": "STE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294898",
            "telephone_number": "210-520-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 BARLITE BLVD",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241342",
            "telephone_number": "210-333-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE NEUROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "DITTMAR",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-614-3009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA, MHA"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southside Children'S Dental Center, P.C.
• Southside Childrensa Dental Center
• Southside Family Dental Center PC
• Southside Independent School District
• Southside Isd
• Southside Orthodontic Center PC
• Southside Orthopaedic & Rehabilitation Associates PA.
• Southside Spinal Care Clinic LLC
• Southside Spinal Care Clinic LLC.
• Southtexas Surgeons PA

• Neurology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.