Provider Demographics
NPI:1699905596
Name:NSC CONSULTANTS, PA
Entity type:Organization
Organization Name:NSC CONSULTANTS, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-255-8935
Mailing Address - Street 1:PO BOX 654355
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-4355
Mailing Address - Country:US
Mailing Address - Phone:210-255-8935
Mailing Address - Fax:210-255-8026
Practice Address - Street 1:4611 CENTERVIEW
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1202
Practice Address - Country:US
Practice Address - Phone:210-255-8935
Practice Address - Fax:210-255-8026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-26
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9760207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0088SPOtherBLUE CROSS BLUE SHIELD
TX196529505Medicaid
TX208351102Medicaid
TX208351101Medicaid
TX208351101Medicaid
TX0A4954Medicare PIN