# TEXAS ASSOCIATION OF PEDIATRIC NEUROLOGY, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124246103
- **Authorized official:** DR. JERRY J TOMASOVIC MD (OWNER)
- **Authorized official phone:** (210) 615-2333

## Contact information

- **Practice address:** 525 OAK CENTRE DR, SUITE \#400, SAN ANTONIO, TX 78258-3944
- **Practice address phone:** (210) 615-2333
- **Practice address fax:** (210) 490-5024
- **Mailing address:** PO BOX 34713, SAN ANTONIO, TX 78265-4713
- **Mailing address phone:** (210) 615-2333
- **Mailing address fax:** (210) 490-5024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0008X | Neuromuscular Medicine (Psychiatry & Neurology) Physician | G7730 | TX | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 07/29/2009