The Concussion Recovery Centre

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

THE CONCUSSION RECOVERY CENTRE

Practice address

7333 Barlite Blvd Ste 100
San Antonio, TX 78224-1321

Phone

(210) 923-0055

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Carl M Gamboa

Title

Owner

Phone

(210) 923-0055

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1750139564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 BARLITE BLVD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241321",
            "telephone_number": "210-923-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 BARLITE BLVD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241321",
            "telephone_number": "210-923-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CONCUSSION RECOVERY CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "GAMBOA",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-923-0055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Children'S Shelter
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• The Chosn. Inc
• The Complete Athlete Performance Therapy LLC
• The Concussion Center LLC
• The Conscious Creator Counseling
• The Conscious Creator Counseling
• The Counseling Studio, PLLC
• The Denning Center
• The Dental Wish Foundation

• All providers in San Antonio, TX
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.