MODK MONITORING PLLC (NPI# 1649669235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649669235 |
| Entity Type | Organization |
| Organization Name | MODK MONITORING PLLC |
| Practice Address |
4102 S New Braunfels Ave Ste 110 #123 San Antonio TX 78223-1707 |
| Practice Telephone | 2107145524 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | DR. GEORGE GALVAN (OWNER) |
| Authorized Official Telephone | 2107145524 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians | ||
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
4102 S NEW BRAUNFELS AVE STE 110 #123 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78223-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871950048 | Temora Gray | Psychologist | 4102 S New Braunfels Ave, San Antonio, TX 78223-1707 | 2016-01-19 |
| 1063882843 | Jwjmdnm, Pllc | Electrodiagnostic Medicine | 4102 S New Braunfels Ave, Suite 110 #120, San Antonio, TX 78223-1707 | 2015-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598310344 | Celebraces Se Military Pllc | Dentist | 3611 Se Military Drive, Suite B101, San Antonio, TX 78223 | 2019-08-08 |
| 1295204410 | All Discountz Mobile Phlebotomy Services | Contractor | 6639 South New Braunfels, #19101, San Antonio, TEXAS 78223 | 2018-11-16 |
| 1588131585 | Ad Mobile Phlebotomy Services | Technician, Pathology | 6639 South New Braunfels Avenue, #19101, San Antonio, TEXAS 78223 | 2018-10-28 |
| 1437626694 | Valerie Brown | Technician, Pathology | C/o 6639 South New Braunfels Avenue, #19101, San Antonio, TEXAS 78223 | 2018-10-25 |
| 1285135574 | Allan Socrates Mamaril Angeles | Registered Nurse | 535 Hot Wells Blvd, Apt 301, San Antonio, TX 78223 | 2018-02-22 |
| 1356799845 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3502 Se Military Drive, San Antonio, TX 78223 | 2016-05-25 |
| 1467810325 | Dsi Southeast San Antonio, LLC | Clinic/Center | 2635 S.e. Military Drive, San Antonio, TX 78223 | 2016-02-08 |
| 1477832293 | Jg-surgical Assistant's,llc | Specialist/Technologist, Other | 5311 Cynthia Linn, San Antonio, TX 78223 | 2011-08-10 |
| 1841580826 | Kiddo Denal Pa | Dentist | 3520 S. New Braunfels Ste 100, Kiddo Dental, San Antonio, TX 78223 | 2011-04-12 |
| 1770885162 | Primavera Primary Home Care, Inc | Custodial Care Facility | 1007 Fair, San Antonio, TX 78223 | 2010-11-17 |
| Find all providers in zip 78223 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811516503 | Onetwo Stars | Psychiatry & Neurology | 118 Broadway St Ste 221, San Antonio, TX 78205-2088 | 2020-04-13 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1225421829 | Alamo City Neurodiagnostics, Pllc | Psychiatry & Neurology | 14439 Nw Military Highway, Ste 108 #301, San Antonio, TX 78231-1648 | 2015-03-06 |
| 1386920106 | Omega Southwest, Pllc | Psychiatry & Neurology | 313 Limestone Creek Rd, San Antonio, TX 78232-3503 | 2011-10-25 |
| 1447559182 | Select Neuromonitoring Consultants, Pllc | Psychiatry & Neurology | 10004 Wurzbach Road, #393, San Antonio, TX 78230 | 2011-03-21 |
| 1487953113 | Neuromonitoring of Texas, Pllc | Psychiatry & Neurology | 20770 Highway 281 North, Suite 108, #267, San Antonio, TX 78258 | 2011-03-21 |
| 1164744165 | River Valley Neurophysiology, Pllc | Psychiatry & Neurology | 4007 Mccullough Avenue, #238, San Antonio, TX 78212 | 2010-02-18 |
| 1821328808 | Insite Surgical Monitoring Services LLC, In-site | Psychiatry & Neurology | 4722 Bending Grv, San Antonio, TX 78259-2289 | 2010-01-13 |
| 1154651123 | Jjdnm, Pllc | Psychiatry & Neurology | 8403 State Highway 151, Ste 104 #358, San Antonio, TX 78245 | 2010-01-13 |
| 1386977064 | Grmnm, Pllc | Psychiatry & Neurology | 10730 Potranco Rd, Ste 122 #195, San Antonio, TX 78251-3330 | 2009-09-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78223 |
Please comment or provide details below to improve the information on MODK MONITORING 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.