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Polo Banuelos, M.D
NPI 1003072646 · on the registry since 2008 · sole proprietor
Practice
- Address
- 11212 State Highway 151
Medical Plaza 1, Suite 200
San Antonio, TX 78251 - Phone
- (210) 520-7160
- Fax
- (210) 520-7190
- Organisation at this address
- 15rx Llc
Indigo Bend, Llc
Neurocare Tx Llc
Sp Administration
Cepamerica Texas PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 89
Additional practice sites
- 1055 Bowles Ave, St. Louis, MO
- 300 Pinellas St # 47, Clearwater, FL
Registry record
- Primary taxonomy
- Neurology Physician
2084N0400X
- Also registered as
- Neurology Physician
- Licence states on file
- TX, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas