P Praxis·MD
● Active Type 1 · Individual

DR. Polo Alberto Banuelos, M.D.

Psychiatry & Neurology·San Antonio, TX· NPI 1003072646 · Enumerated 2008 · 17 years on NPI
Banuelos is 1 of 149 psychiatry & neurology providers in San Antonio and 1 of 1903 in Texas.
NPI age
17 years
Enumerated 2008-08-04
Primary specialty
Psychiatry & Neurology
Plus 1 subspecialty
Licensed in
FL, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-02-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1903 active psychiatry & neurology providers in Texas.

NPI age
17 years
≈ at median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-08Enumerated in NPPES
2008 2026

Where they practice

Practice location
11212 State Highway 151, Medical Plaza 1, Suite 200
San Antonio, TX 782514498
📞 2105207160fax 2105207190
Mailing address
9730 Westover Hills Blvd Ste 105
San Antonio, TX 782514842
📞 2105207160fax 2105207190

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
300 Pinellas St # 47
Clearwater, FL 337563804
📞 7274627907fax 7274627904
Location 3
1055 Bowles Ave, Suite 200
St. Louis, MO 63117
📞 3149254773

Specialties

  • Psychiatry & Neurology Primary
    A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
    FL license #ME158919TX license #M9832 taxonomy 2084N0400X

Practice context

Part of a multi-provider practice. 75 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new psychiatry & neurology provider has been added in San Antonio in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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