Provider Demographics
NPI:1225260219
Name:TEMPEST NEUROLOGY AND SLEEP CONSULTANTS, PLLC
Entity Type:Organization
Organization Name:TEMPEST NEUROLOGY AND SLEEP CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:R
Authorized Official - Last Name:TEMPEST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-740-8962
Mailing Address - Street 1:PO BOX 41239
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-0021
Mailing Address - Country:US
Mailing Address - Phone:512-334-7876
Mailing Address - Fax:512-445-6095
Practice Address - Street 1:1106 W DITTMAR RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-6328
Practice Address - Country:US
Practice Address - Phone:512-444-4835
Practice Address - Fax:512-445-6095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-10
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMO941207R00000X, 2084N0400X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX192637002Medicaid
TX206418001Medicaid
TX206418001Medicaid
TX8F22524Medicare PIN