| NPI | 1548773203 |
|---|---|
| Doing Business As | GRANITE CLINICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | ROXANNA LAROQUE Client Experience Manager 210-598-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 204R00000X Electrodiagnostic Medicine | |
| 207L00000X Anesthesiology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2024-01-17 |