Provider Demographics
NPI:1467232033
Name:OCAT NEUROTECH LLC
Entity Type:Organization
Organization Name:OCAT NEUROTECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF SCIENCE & TECHNOLOGY OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CENTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC-S
Authorized Official - Phone:817-295-8708
Mailing Address - Street 1:17721 ROGERS RANCH PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4651
Mailing Address - Country:US
Mailing Address - Phone:844-824-6228
Mailing Address - Fax:817-295-8708
Practice Address - Street 1:17721 ROGERS RANCH PKWY STE 110
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4651
Practice Address - Country:US
Practice Address - Phone:844-824-6228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEGGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No305S00000XManaged Care OrganizationsPoint of ServiceGroup - Multi-Specialty