South Texas Neurology LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

J7226 Issued in TX

Legal business name

SOUTH TEXAS NEUROLOGY LLC

Practice address

115 Gallery Cir Ste 300
San Antonio, TX 78258-3388

Phone

(210) 403-2074

Fax

(210) 403-2078

NPI assigned

Jun 18, 2014

Last updated

Oct 24, 2014By 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. Praveen Kumar Thangada, M.D.

Title

Physician

Phone

(210) 403-2074

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1972917888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592629",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590181",
            "telephone_number": "210-403-2074",
            "fax_number": "210-403-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GALLERY CIR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583388",
            "telephone_number": "210-403-2074",
            "fax_number": "210-403-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "THANGADA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "210-403-2074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J7226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Texas Medical Supply Dba (HME Specialists)
• South Texas Medspa LLC (Slimedica)
• South Texas MRI LTD
• South Texas Nephrology, P.a
• South Texas Neurobehavioral Group LLC
• South Texas Neuropsychological Associates PLLC
• South Texas Neurosurgical Associates,P.a.
• South Texas Nurse Practitioner Services, PLLC (Innovative Primary Care)
• South Texas Oncology and Hematology, PLLC (The START Center Pharmacy)
• South Texas Oncology and Hematology, PLLC

• Neurology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.