SPORTS CONCUSSION TREATMENT CENTER OF TEXAS (NPI# 1578950333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578950333 |
| Entity Type | Organization |
| Organization Name | SPORTS CONCUSSION TREATMENT CENTER OF TEXAS |
| Practice Address |
2940 Fm 407 Suite 302 Highland Village TX 75077-7045 |
| Practice Telephone | 9723169011 |
| Mailing Telephone | 9723169011 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |
| Authorized Official Name | DR. JOHN GUSTAVO GOMEZ (MANAGING PARTNER) |
| Authorized Official Telephone | 9402311129 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
L1055 | TX | Ambulatory Health Care Facilities |
| Street Address |
2940 FM 407 SUITE 302 |
| City | HIGHLAND VILLAGE |
| State | TX |
| Zip Code | 75077-7045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912461062 | Preferred Pediatrics Primary Care, Pllc | Pediatrics | 2540 F.m. 407 Ste 189, Highland Village, TX 75077 | 2019-01-23 |
| 1841739448 | Mackenzie Scovill | Physical Therapist | 4040 Bryce Lane, Flower Mound, TX 75077 | 2017-02-15 |
| 1356891147 | Erin Maxwell | Naturopath | 2012 Fm 407 Ste 200a, Lewisville, TX 75077 | 2016-10-05 |
| 1356732051 | My-hanh Nguyen Dds, Pa | Dentist | 967 North Garden Ridge Blvd, Suite A, Lewisville, TX 75077 | 2015-02-17 |
| 1912332586 | Marissa Lynn Royall Steinhelfer | Speech-Language Pathologist | 800 College Parkway, Suite 336, Lewisville, TX 75077 | 2013-09-13 |
| 1831466044 | Healthsource of Flower Mound LLC | Chiropractor | 200 Market Place Ln, Suite 200, Highland Village, TX 75077 | 2011-11-17 |
| 1144546391 | Sandhya Rao | Physical Therapist | 1301 Justin Rd Ste 206, Lewisville, TX 75077 | 2010-04-13 |
| 1811121460 | Orthodontic Professionals | Clinic/Center | 4030 Justin Road (fm 407), Suite 100, Flower Mound, TX 75077 | 2009-05-12 |
| 1134393374 | Elizabeth Pearl Muir | Occupational Therapist | 1301 West Hwy 407, Ste 206, Lewisville, TX 75077 | 2008-04-18 |
| 1043488323 | The Looking Glass Optique PC | Optometrist | 2600 Village Parkway, Unit 1a, Highland Village, TX 75077 | 2008-02-20 |
| Find all providers in zip 75077 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888080 | Ameri Medical | Clinic/Center | 2301 Marsh Ln Ste 600, Plano, TX 75093-8497 | 2020-10-09 |
| 1093326969 | Origin Spine Institute LLC | Clinic/Center | 9135 Katy Fwy Ste 300, Houston, TX 77024-1619 | 2020-08-13 |
| 1164061644 | Iari | Clinic/Center | 12606 Greenville Ave Ste 190b, Dallas, TX 75243-1921 | 2019-12-31 |
| 1366081192 | Sprout Chiropractic Pllc | Clinic/Center | 3421 W William Cannon Dr Ste 145, Austin, TX 78745-5002 | 2019-12-26 |
| 1902369101 | Banerji Plastic Surgery | Clinic/Center | 11914 Astoria Blvd Ste 580, Houston, TX 77089-5975 | 2019-04-13 |
| 1831653526 | Naveli Medical Services, Pllc | Clinic/Center | 9090 Gaylord Dr Ste 200, Houston, TX 77024-2948 | 2019-01-26 |
| 1740758606 | Landry's Elite Medical Enterprise, Pllc | Clinic/Center | 3204 Melody Peak Ln, Pearland, TX 77581-2555 | 2018-11-08 |
| 1982179602 | Spring Center of Hope | Clinic/Center | 20008 Champion Forest Dr Ste 1202, Spring, TX 77379-8697 | 2018-10-09 |
| 1609378801 | Express Anesthesia & Pain Management Consultants,pllc | Clinic/Center | 6609 W Sam Houston Pkwy S Ste 101, Houston, TX 77072-1641 | 2018-03-02 |
| 1902313588 | Bbg Cosmetic and Plastic Surgery | Clinic/Center | 5930 W Parker Rd Ste 600, Plano, TX 75093-6420 | 2018-01-04 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND VILLAGE |
| Zip Code | 75077 |
Please comment or provide details below to improve the information on SPORTS CONCUSSION TREATMENT CENTER OF TEXAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.