Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Polo Alberto Banuelos, MD

Individual provider Neurology Physician · NPI 1003072646

Dr. Polo Alberto Banuelos, MD is a Neurology in San Antonio, Texas. Graduated from Baylor College of Medicine in 2004, 22 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
22
Trained at
Baylor College of Medicine
Licensed in
FL, TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11212 State Highway 151 Medical Plaza 1 Ste 200
San Antonio, TX 78251-4498
Phone: (210) 520-7160
Fax: (210) 520-7190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 300 Pinellas St # 47, Clearwater, FL 33756-3804 — (727) 462-7907
  • 1055 Bowles Ave, St. Louis, MO 63117 — (314) 925-4773

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME158919 (FL)
Neurology Physician Taxonomy 2084N0400X · Licence M9832 (TX)

Record details

NPI number1003072646
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 4, 2008
Last updated in NPPESFebruary 27, 2023
Certification dateJanuary 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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