NELL MEDICAL GROUP, P.A. (NPI# 1114323466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114323466 |
| Entity Type | Organization |
| Organization Name | NELL MEDICAL GROUP, P.A. |
| Practice Address |
400 N Loop 1604 E Suite 125 San Antonio TX 78232-1258 |
| Practice Telephone | 2104954086 |
| Mailing Telephone | 2105102868 |
| Mailing Fax Number | 2104954086 |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | DR. MARINA NELL (DOCTOR) |
| Authorized Official Telephone | 2105102868 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Q1868 | TX | Ambulatory Health Care Facilities |
| Street Address |
400 N LOOP 1604 E SUITE 125 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78232-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811999865 | Craig R Carlson | Dentist | 400 N Loop 1604 E, Ste 315, San Antonio, TX 78232-1200 | 2005-06-02 |
| 1386150183 | Cristine Diane Saks | Dietitian, Registered | 400 N Loop 1604 E, San Antonio, TX 78232-1258 | 2017-12-17 |
| 1578921383 | Vanessa Marie Bernal | Marriage & Family Therapist | 400 N Loop 1604 E, Suite 175, San Antonio, TX 78232-1258 | 2016-02-08 |
| 1881051811 | Daniel Guerra | Dietitian, Registered | 400 N Loop 1604 E, San Antonio, TX 78232-1258 | 2016-01-21 |
| 1720492465 | Pmc Healthcare and Diagnostics of San Antonio, PC | Internal Medicine | 400 N Loop 1604 E, Suite 330, San Antonio, TX 78232-1258 | 2014-06-19 |
| 1427475128 | Samantha Lopez | Dietitian, Registered | 400 N Loop 1604 E, Suite 175, San Antonio, TX 78232-1258 | 2014-03-20 |
| 1306104732 | Life Designs | Counselor | 400 N Loop 1604 E, Suite 175, San Antonio, TX 78232-1258 | 2012-04-23 |
| 1811287246 | John Daniel Shafer Jr. | Audiologist-Hearing Aid Fitter | 400 N Loop 1604 E, Suite 210, San Antonio, TX 78232-1258 | 2011-04-19 |
| 1730323924 | William Murdock Mccrae | Hearing Instrument Specialist | 400 N Loop 1604 E, Suite 210, San Antonio, TX 78232-1258 | 2009-05-01 |
| 1649446360 | Jan L Tilley | Dietitian, Registered | 400 N Loop 1604 E, Suite 175, San Antonio, TX 78232-1258 | 2008-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371334 | Rachelle Renee Morales | Counselor | 620 W Afton Oaks Blvd, San Antonio, TX 78232 | 2019-11-25 |
| 1508328360 | Ruene Anne Villalobos | Licensed Vocational Nurse | North Loop 1604 E #350, San Antonio, TX 78232 | 2019-04-02 |
| 1063908671 | Steven C. Albright Dds, Pa | Oral & Maxillofacial Surgery | 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 | 2018-07-06 |
| 1437666583 | Jennifer Harris | Physician Assistant | 1380 Pantheon Way Ste 310, San Antonio, TX 78232 | 2018-01-10 |
| 1003334616 | Third Space Counseling and Consultation, Pllc | Counselor | 1380 Pantheon Way Suite 245, San Antonio, TX 78232 | 2017-09-03 |
| 1336678135 | Gregory Arellanes | Specialist/Technologist, Other | 1141 N Loop 1604 E #105-612, San Antonio, TX 78232 | 2017-06-06 |
| 1528437811 | Jonathan Hodge | Specialist/Technologist, Other | 1141 E Loop 1604, Suite 105, San Antonio, TX 78232 | 2015-09-17 |
| 1356726376 | Shawn Grubbs | Spec/Tech, Cardiovascular | 16620 Us Hwy 281n, Suite 300, San Antonio, TX 78232 | 2015-07-21 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1841690526 | Janet Porter | Registered Nurse | 15909 San Pedro Ave Ste 204, San Antonio, TX 78232 | 2014-08-29 |
| Find all providers in zip 78232 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1154935476 | A Work of Heart Therapy, Pllc | Clinic/Center | 10650 Culebra Rd # 104-174, San Antonio, TX 78251-4949 | 2020-09-03 |
| 1265993547 | Leslie Edwards Ma Lpc Pllc | Clinic/Center | 17806 Ih 10 W Ste 300, San Antonio, TX 78257-8222 | 2019-03-28 |
| 1033677372 | Empowering You Counseling Services, LLC | Clinic/Center | 2008 Nw Military Hwy Ste 3, San Antonio, TX 78213-2130 | 2019-03-05 |
| 1154866945 | Bariatric Counseling Center of San Antonio, LLC | Clinic/Center | 9618 Huebner Rd Ste 320, San Antonio, TX 78240-1777 | 2017-01-03 |
| 1508257346 | Christina Wei,phd,rn,pmhnp-bc,pllc | Clinic/Center | 4242 Woodcock Dr Ste 201, San Antonio, TX 78228-1325 | 2015-02-16 |
| 1821279779 | Eating Disorder Center At San Antonio | Clinic/Center | 515 Busby Dr, San Antonio, TX 78209-1116 | 2007-11-20 |
| 1346433398 | United Black and Brown | Clinic/Center | 648 Delmar St, San Antonio, TX 78210-2466 | 2007-08-23 |
| 1578685277 | Recovery Behavioral Health of San Antonio LLC | Clinic/Center | 10515 Gulfdale St, Suite 111, San Antonio, TX 78216-3667 | 2007-04-04 |
| 1982753448 | Our Lady of The Lake University | Clinic/Center | 590 N General Mcmullen Dr, 3, San Antonio, TX 78228-6205 | 2007-01-10 |
| 1679685481 | Avalon Social Services Inc | Clinic/Center | 1731 N Comal St, San Antonio, TX 78258 | 2006-08-31 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78232 |
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| 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.