Organization
TEXAS ASSOCIATION OF PEDIATRIC NEUROLOGY, PA
Active
Organization
TEXAS ASSOCIATION OF PEDIATRIC NEUROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY J TOMASOVIC MD (OWNER)
(210) 615-2333
Entity
Organization
Contact information
Practice address
525 OAK CENTRE DR, SUITE #400, SAN ANTONIO, TX 78258-3944
(210) 615-2333
(210) 490-5024
Mailing address
PO BOX 34713, SAN ANTONIO, TX 78265-4713
(210) 615-2333
(210) 490-5024
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
G7730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095077602
—
TX
Enumeration date
04/23/2007
Last updated
07/29/2009
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