| NPI | 1740652197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNA LAROQUE Director, Client Experience 210-598-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084N0600X | |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| 204R00000X Electrodiagnostic Medicine | |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2024-01-17 |