Organization Active NPI

Gsgnm, PLLC

  • Clinical Neurophysiology Physician
  • San Antonio, TX
National Provider Identifier
1992035968
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
GSGNM, PLLC
Practice address
8403 State Highway 151
Ste 104 #538
San Antonio, TX 78245
Phone
(210) 714-5507
NPI assigned
Jan 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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

Authorized official

Name
Lizette Morin
Title
MDMS Npi Compliance Officer
Phone
(210) 598-2801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

8403 State Highway 151
Ste 104 #538
San Antonio, TX 78245

Mailing address

8403 State Highway 151
Ste 104 #537
San Antonio, TX 78245-2055
Phone (210) 714-5507

National Provider Directory

National Provider Directory

Locations

8403 State Highway 151
Ste 104
San Antonio, TX 78245
Phone (210) 714-5507

NPI Registry JSON

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1992035968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 STATE HIGHWAY 151",
            "address_2": "STE 104 #537",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452055",
            "telephone_number": "210-714-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 STATE HIGHWAY 151",
            "address_2": "STE 104 #538",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78245",
            "telephone_number": "210-714-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSGNM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "LIZETTE",
        "authorized_official_title_or_position": "MDMS NPI COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "210-598-2801"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "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 Sep 6, 2017; 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.