MEDICARE: LONGHORN NEUROPHYSIOLOGY, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084N0400X	Neurology Physician
2	246ZE0600X	Electroneurodiagnostic Specialist/Technologist
3	204R00000X	Electrodiagnostic Medicine Physician
4	2084N0600X	Clinical Neurophysiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811256928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONGHORN NEUROPHYSIOLOGY, P.A.

Provider Business Mailing Address
First Line	:	1141 N LOOP 1604 E STE 105-484
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-1339
Country	:	US
Telephone Number	:	281-768-6730
Fax Number	:	281-768-6769

Provider Business Practice Location Address
First Line	:	5000 LEGACY DR STE 330
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-3391
Country	:	US
Telephone Number	:	484-351-8459
Fax Number	:	484-351-8810

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALAN M. RUBIN
Credential	:	M.D.
Telephone Number	:	281-768-6747

Provider Enumeration Date	:	05/09/2012
Last Update Date	:	12/08/2025

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Directions to “LONGHORN NEUROPHYSIOLOGY, P.A. ” Practice Location

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