Neuroveda, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEUROVEDA, PLLC

Practice address

4402 Vance Jackson Rd Ste 248
San Antonio, TX 78230-5334

Phone

(210) 686-5000

Fax

(210) 239-5060

NPI assigned

Mar 24, 2018

Last updated

Sep 11, 2025By 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

Dr. Andrew Wae Wong, MD

Title

Managing Co-Partner

Phone

(210) 686-5000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1521849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1801391768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 VANCE JACKSON RD STE 248",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305334",
            "telephone_number": "210-686-5000",
            "fax_number": "210-239-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 VANCE JACKSON RD STE 248",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305334",
            "telephone_number": "210-686-5000",
            "fax_number": "210-239-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROVEDA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "WAE",
        "authorized_official_title_or_position": "MANAGING CO-PARTNER",
        "authorized_official_telephone_number": "210-686-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.