| NPI | 1619271541 |
|---|---|
| Doing Business As | MD NEUROLOGY SERVICES |
| Entity Type | Organization |
| Authorized Contact | SCOTT LANCE LAROQUE CEO 210-854-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |