Neurology Institute of San Antonio

What Neurology Institute of San Antonio does

Neurology Institute of San Antonio (NISA) is an independent, physician-owned neurology medical practice headquartered in San Antonio, Texas, with three clinic locations serving the San Antonio metro, Boerne, and Kerrville/Hill Country. The practice provides adult neurological diagnosis, treatment, and long-term disease management across a broad condition set including Multiple Sclerosis, Parkinson's disease, epilepsy, migraines, stroke, ALS, Alzheimer's disease, peripheral neuropathy, dystonia, and related disorders. Care is delivered by three board-certified neurologists (Dr. Suzanne K. Gazda, Dr. R. Braden Neiman, and Dr. E. Swann Van Delden) supported by physician assistants (including Megan Vargas, PA-C and Angela Gamez, PA-C).

The clinical offering is anchored by an integrated service model: NISA provides in-office neurology consultations, on-site diagnostic testing (MRI via co-located Paesanos Parkway Imaging, EEG, EMG/NCV, lumbar puncture, sleep studies), interventional procedures (fluoroscopy-guided epidural and facet injections, vagal nerve stimulation, deep brain stimulation), and on-site IV infusion therapy administered through co-located VISTA Infusions. The practice also operates a patient education portal (Neuro Knowledge covering diseases, tests, and treatments) and uses the third-party healow patient portal for records access and scheduling. A new mild cognitive impairment/early dementia clinic led by Dr. Van Delden represents an emerging dedicated service line.

Revenue is generated through professional services billing against insurance (Medicare, Medicaid, and major commercial payers including Aetna, Blue Cross Blue Shield, Cigna, Humana, and United Healthcare across PPO, POS, HMO, and EPO plan types) plus patient co-pays and co-insurance collected at time of service. Go-to-market is sales-led and referral-driven: most initial appointments require a PCP or doctor-to-doctor referral, with direct scheduling available for patients whose plans do not require specialist referral. The practice has recently opened a Boerne clinic (September 2023) with a planned December 2023 relocation of the main office, and operates a separate Kerrville location to extend reach into the Texas Hill Country.

Name

Neurology Institute of San Antonio

Legal name

Neurology Institute of San Antonio

Website

https://nisatx.com

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Neurology Institute of San Antonio is a physician-owned neurology practice in San Antonio, Boerne, and Kerrville, Texas, delivering diagnosis, treatment, infusion therapy, and on-site MRI for adult patients with neurological conditions including MS, Parkinson's, epilepsy, and migraines.

Ownership category

akta.pro rank

Product category

Outpatient Neurology Services

NAICS

Offices of Other Health Practitioners (6213)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

General Neurology (HLAKAIAA)

akta.pro secondary industries

Neurodiagnostic Centers (EEG/EMG/NCS) (HLAFAKAK), Epilepsy & Seizure Disorders (HLAKAIAB)

Keywords

• Neurology medical services
• Neurological diagnostic testing
• Infusion therapy services
• Multiple sclerosis care
• Migraine headache treatment

Headquarters

HQ city

San Antonio

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. Patient Services Revenue: Neurology clinic providing medical consultations, diagnostic testing, and treatment services. Revenue generated through insurance billing (Medicare, Medicaid, commercial insurance) and patient co-payments/co-insurance at time of service.
2. Infusion Therapy Services: IV infusion therapy administration for neurological conditions. Services billed through insurance with patient responsibility for co-pays.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

Neurology Institute of San Antonio is an independent physician-owned neurology practice that diagnoses and treats adult neurological diseases such as multiple sclerosis, Parkinson's disease, epilepsy, migraines, stroke, ALS, Alzheimer's, peripheral neuropathy, and movement disorders. The practice delivers care across three Texas clinic locations (San Antonio, Boerne, Kerrville) and bundles on-site diagnostic testing (MRI, EEG, EMG/NCV, sleep studies), interventional procedures (fluoroscopy-guided injections, vagal nerve stimulation, deep brain stimulation), and infusion therapy administered through the co-located VISTA Infusions center.

Product overview

Neurology Institute of San Antonio (NISA) is a neurological medical practice offering comprehensive patient care through multiple integrated services. The core offering consists of NISA Patient Care (neurological diagnosis and treatment) and Infusion Therapy (IV drug administration via VISTA Infusions). Supporting services include an Online Patient Care Center with patient education resources covering neurological diseases, diagnostic tests, and treatments; an on-site MRI Center; and a Patient Portal for online access to medical records. The practice serves patients in San Antonio, Boerne, and Kerrville, Texas with neurologists Dr. Suzanne Gazda, Dr. R. Braden Neiman, and Dr. E. Swann Van Delden, plus physician assistants.

Differentiator

Problem solved

Functional benefit

Brands

• VISTA Infusions: Ambulatory infusion services located in the same office as NISA, providing administration of IVIG, Remicade, Tysabri and other drug therapies

Products and services

• NISA Patient Care Core adult neurology consultation, diagnosis, and disease management service for adults with neurological conditions across NISA's San Antonio, Boerne, and Kerrville clinics.
• Infusion Therapy (via VISTA Infusions) Intravenous infusion therapy for neurological and autoimmune conditions administered by co-located VISTA Infusions staff on the NISA campus, with supervision, comfortable seating, WiFi, and meal service during treatment.
• MRI Center (Paesanos Parkway Imaging) On-site MRI imaging service for neurological diagnosis provided through the co-located Paesanos Parkway Imaging center at the San Antonio clinic location.
• Online Patient Care Center (Neuro Knowledge) Web-based patient education library ('Neuro Knowledge') covering neurological diseases, diagnostic tests, and treatments, together with access to the healow patient portal for medical records, appointment scheduling, and care-team communication.

Quantifiable outcome

• On-site infusion therapy allows treatment completion in approximately 2 hours in comfortable environment with WiFi access
• +1 more outcomes

Named customers1 record

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Two partnerships are on record, tiered core.

• VISTA InfusionscoreStrategic or Co-development PartnerVISTA Infusions is co-located at NISA office locations providing ambulatory infusion services for neurological conditions. Administers IVIG, Remicade, Tysabri and other infusion medications in a supervised clinic environment with comfortable seating, WiFi, and meal service during treatments.
• Paesanos Parkway Imaging (MRI Center)coreTechnology or IntegrationMRI imaging center located on first floor of San Antonio building where NISA offices are located. Provides on-site MRI capabilities enabling comprehensive diagnostic services without requiring patient travel to external imaging facilities.

Scale indicators3 records

Recent moves9 records

Expansion highlights6 records

Broad incumbents

• Lou Ruvo Center for Brain Health (Cleveland Clinic): Specialty neurology and cognitive-disorders center operated within a national health system, focused on Alzheimer's, MS, Parkinson's, and related neurodegenerative care. Comparable in cognitive-disorder and MS subspecialty focus; much larger scale and broader geographic reach.
• Mischer Neuroscience Institute (Memorial Hermann): Hospital-affiliated neuroscience service line within a large Houston-area health system, providing neurology subspecialties, stroke, neurocritical care, and neurosurgery. Broader incumbent competing for the same specialist referrals and complex neurological cases in Texas.
• Barrow Neurological Institute: Major specialty neurology and neurosurgery institution offering subspecialty clinics, infusion, and advanced diagnostics across a wide catchment. Comparable subspecialty depth (movement disorders, MS, headache, cognitive) at substantially greater scale than NISA.

Emerging players

• Vivo Infusion: Multi-site ambulatory infusion center operator focused on IV biologics for neurology, immunology, and rheumatology. Directly comparable to NISA's VISTA Infusions service line, with potential to compete for referral patients or partner on capacity expansion.

Direct peers

• Dent Neurologic Institute: Large independent neurology and neurosurgery specialty group in Western New York offering MRI, infusion, EEG/EMG, headache, MS, and movement-disorder services across multiple sites. Closely comparable operating model to NISA in breadth of subspecialty coverage and on-site diagnostic/infusion integration.
• Texas Neurology: Independent multi-physician neurology specialty practice serving the Dallas-Fort Worth metro with on-site infusion, EEG, EMG, MRI and advanced diagnostics. Directly comparable in scope (general and subspecialty neurology, infusion services, multi-location) and likely NISA's closest in-state competitor for credentialed talent and payer contracts.
• Pacific Neuroscience Institute: Specialty neuroscience group offering neurology, neurosurgery, and neuro-ophthalmology with subspecialty clinics in movement disorders, MS, headache, and cognitive disorders. Comparable specialty depth and clinic-within-clinic model that NISA uses for its MS and MCI programs.

Others

• ATI Physical Therapy: Large national outpatient therapy chain with a neurologic rehabilitation program treating stroke, MS, Parkinson's, and TBI patients. Adjacent rather than directly competitive, but increasingly competing for neuro-rehab referrals that NISA-related neurologists may otherwise retain within their integrated practice.

Market position

Strengths4 records

Weaknesses3 records

Competitive moat4 records

Key risks5 records

Key highlights5 records

Customer concentration

• Xx.com/NISATX

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Neurology Institute of San Antonio