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NPI Code Detail

MEDICARE: NATIONAL NEUROMONITORING SERVICES, LLC

MEDICARE: NATIONAL NEUROMONITORING SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZE0600XElectroneurodiagnostic Specialist/Technologist1511TX

General Provider Information

NPI Number : 1770816555
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONAL NEUROMONITORING SERVICES, LLC
Provider Business Mailing Address
First Line : 1141 N LOOP 1604 E
Second Line : #105-612
City : SAN ANTONIO
State : TX
Zip : 78232-1397
Country : US
Telephone Number : 210-598-2800
Fax Number : 210-547-0812
Provider Business Practice Location Address
First Line : 5080 SPECTRUM DR STE 1100E
Second Line :
City : ADDISON
State : TX
Zip : 75001-4688
Country : US
Telephone Number : 210-678-4415
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF CLIENT EXPERIENCE
Name : ROXANNA LAROQUE
Credential :
Telephone Number : 210-598-2801
Provider Enumeration Date : 09/11/2009
Last Update Date : 01/15/2025

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Directions to “NATIONAL NEUROMONITORING SERVICES, LLC ” Practice Location

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