Organization Active NPI

Headache and Migraine Institute of Texas, P.a.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1922011774
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K4084 Issued in TX
Legal business name
HEADACHE AND MIGRAINE INSTITUTE OF TEXAS, P.A.
Practice address
400 N Loop 1604 E
Suite 345
San Antonio, TX 78232-1258
Phone
(210) 402-2920
Fax
(210) 403-9827
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Nasha L Holt, M.D.NPI 1639282809
Title
Owner
Phone
(210) 402-2920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K4084 TX Primary

Addresses

Primary practice location

400 N Loop 1604 E
Suite 345
San Antonio, TX 78232-1258

Mailing address

PO Box 2613
Universal City, TX 78148-1613
Phone (210) 402-2920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070605000366 TX Part B Supplier - Clinic/Group Practice 8820190598 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory
Tax ID family
Headache and Migraine Institute of Texas PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14800 San Pedro Ave
Ste 222
San Antonio, TX 78232
Phone (210) 490-3500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1922011774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2613",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781481613",
            "telephone_number": "210-402-2920",
            "fax_number": "210-403-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N LOOP 1604 E",
            "address_2": "SUITE 345",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321258",
            "telephone_number": "210-402-2920",
            "fax_number": "210-403-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADACHE AND MIGRAINE INSTITUTE OF TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "NASHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-402-2920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.