SA CHILD NEUROLOGICAL ASSOCIATION, PLLC (NPI# 1639619380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639619380 |
| Entity Type | Organization |
| Organization Name | SA CHILD NEUROLOGICAL ASSOCIATION, PLLC |
| Practice Address |
7254 Blanco Rd Ste 104 San Antonio TX 78216-4930 |
| Practice Telephone | 2108163837 |
| Mailing Telephone | 2108163837 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-05-09 |
| Authorized Official Name | JOSE L ACEVES (PRESIDENT) |
| Authorized Official Telephone | 2108163837 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
J7741 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
7254 BLANCO RD STE 104 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-4930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184655433 | Michele Chavez | Nurse Practitioner | 7254 Blanco Rd Ste 104, San Antonio, TX 78216 | 2006-07-05 |
| 1457773111 | Bear Pediatric Pllc | Pediatrics | 7254 Blanco Rd Ste 104, San Antonio, TX 78216-4930 | 2014-01-15 |
| 1205848546 | Marlyn L. Cabrera | Pediatrics | 7254 Blanco Rd Ste 104, San Antonio, TX 78216-4930 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821297391 | Guojun Zhang | Psychiatry & Neurology | 333 N. Santa Rosa Street, San Antonio, TX 78207 | 2007-07-15 |
| 1669564118 | Linda Diane Leary | Psychiatry & Neurology | 7703 Floyd Curl Dr # Mc7883, San Antonio, TX 78229-3901 | 2006-09-29 |
| 1275544207 | Jose L Aceves | Psychiatry & Neurology | 10839 Quarry Park, San Antonio, TX 78233 | 2006-08-11 |
| 1639171929 | John Raymond Seals | Psychiatry & Neurology | 4410 Medical Dr, Ste 400, San Antonio, TX 78229-3855 | 2005-06-01 |
| 1922001395 | Sheldon G. Gross | Psychiatry & Neurology | 4499 Medical Dr, Ste 396, San Antonio, TX 78229-3713 | 2005-05-31 |
| 1306191879 | Kelly Anne Averill | Psychiatry & Neurology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2012-07-19 |
| 1154610707 | Carter Malone Richards | Psychiatry & Neurology | 4114 Pond Hill Rd, Suite 101, San Antonio, TX 78231-1272 | 2011-04-05 |
| 1518284405 | Samiya Fatima Ahmad | Psychiatry & Neurology | 333 N Santa Rosa St, San Antonio, TX 78207-3108 | 2010-04-30 |
| 1356589170 | South Texas Health Alliance | Psychiatry & Neurology | 1202 E Sonterra Blvd, Ste 302, San Antonio, TX 78258 | 2009-02-02 |
| 1275724585 | Satish Agadi | Psychiatry & Neurology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2007-08-05 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on SA CHILD NEUROLOGICAL ASSOCIATION, PLLC.
| 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.