Organization Active NPI

Lone Star Cardiovascular Center PLLC

  • Specialist
  • San Antonio, TX
National Provider Identifier
1831641059
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LONE STAR CARDIOVASCULAR CENTER PLLC
Practice address
1840 NE Loop 410
Ste 102
San Antonio, TX 78217-1070
Phone
(210) 817-4848
NPI assigned
Nov 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Suresh B Neelagaru, M.D.
Title
Owner
Phone
(210) 779-6122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1840 NE Loop 410
Ste 102
San Antonio, TX 78217-1070

Mailing address

1840 NE Loop 410
Ste 102
San Antonio, TX 78217
Phone (210) 817-4848

Other names 1

  • Endovascular Innovations Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL secure@lonestarcardiovascular.com

National Provider Directory

National Provider Directory

Locations

1804 NE Loop 410
Ste 102
San Antonio, TX 78217
Phone (210) 817-4848

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1831641059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 NE LOOP 410",
            "address_2": "STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-817-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 NE LOOP 410",
            "address_2": "STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782171070",
            "telephone_number": "210-817-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR CARDIOVASCULAR CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2021-10-14",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "NEELAGARU",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-779-6122",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "secure@lonestarcardiovascular.com",
            "affiliation": "N",
            "address_1": "1840 NE Loop 410",
            "address_2": "STE 102",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782171070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Endovascular Innovations",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Endovascular Innovations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.