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NPISignal

Individual Healthcare Provider

Polo Alberto Banuelos, M.D.

NPI Record: ActivePsychiatry & Neurology — Neurology
NPI1003072646
San Antonio, Texas

Provider's NPPES record last updated: February 27, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1003072646
Primary Specialty
Psychiatry & Neurology — Neurology
Practice Location
San Antonio, Texas
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:39 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Neurology

    Allopathic & Osteopathic Physicians

    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.

    Taxonomy code 2084N0400X

Provider-Reported License Information

Psychiatry & Neurology (Florida)
ME158919
Psychiatry & Neurology (Texas)
M9832
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

11212 State Highway 151

Medical Plaza 1, Suite 200

San Antonio, Texas 78251-4498

Phone: (210) 520-7160

Additional Practice Location

1055 Bowles Ave

Suite 200

St. Louis, Missouri 63117

Phone: (314) 925-4773

Additional Practice Location

300 Pinellas St # 47

Clearwater, Florida 33756-3804

Phone: (727) 462-7907

Fax: (727) 462-7904

Record Information

Enumeration Date
August 4, 2008
Provider's NPPES Record Last Updated
February 27, 2023
Certification Date
January 26, 2022
NPISignal NPPES Dataset
August 2026

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