Active NPI
Gsgnm, PLLC
- Clinical Neurophysiology Physician
- San Antonio, TX
National Provider Identifier
1992035968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 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 DirectoryLocations
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.