Wavepro LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

WAVEPRO LLC

Practice address

16170 Jones Maltsberger Rd Ste 106
San Antonio, TX 78247-3202

Phone

(361) 288-2201

Fax

(361) 210-8183

NPI assigned

Mar 20, 2018

Last updated

Sep 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beth Renae Beyer

Title

Office Manager

Phone

(361) 288-2201

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antonio Bogdan Fratila, M.D.

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1467484691
  NPD

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1801390315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16170 JONES MALTSBERGER RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473202",
            "telephone_number": "361-288-2201",
            "fax_number": "361-210-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16170 JONES MALTSBERGER RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473202",
            "telephone_number": "361-288-2201",
            "fax_number": "361-210-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVEPRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "361-288-2201"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy L Watts, LCSW
• Ugochi Amara Waturuocha, PA
• Sandy Waud
• Tyler Waughtal
• Wave Healthcare
• Amanda C Way, MLS, LBSW, LCPAA
• Donald Robert Way, RPH
• Emily Marie Way
• Courtney Dawn Waye, PHARM.D.
• Browning Shelton Wayman, M.D.

• Electroneurodiagnostic Specialist/Technologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.