MEDICARE: MR. SCOTT LANCE LAROQUE CNIM

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
1	246ZE0600X	Electroneurodiagnostic Specialist/Technologist	1511	TX

General Provider Information

NPI Number	:	1568785202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SCOTT LANCE LAROQUE CNIM

Provider Business Mailing Address
First Line	:	4722 BENDING GRV
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-2289
Country	:	US
Telephone Number	:	210-854-9488
Fax Number	:	210-592-8370

Provider Business Practice Location Address
First Line	:	4722 BENDING GRV
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-2289
Country	:	US
Telephone Number	:	210-854-9488
Fax Number	:	210-592-8370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2010
Last Update Date	:	03/09/2010

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1770479438 — MS. ELIZABETH CERECERES MSW, LCSW
Practice Location Address:

4727 BENDING GRV
SAN ANTONIO, TX
78259-2289

Practice Phone: 254-813-8809
Practice Fax:

1821328808 — INSITE SURGICAL MONITORING SERVICES LLC, IN-SITE
Practice Location Address:

4722 BENDING GRV
SAN ANTONIO, TX
78259-2289

Practice Phone: 210-854-9488
Practice Fax:

1144671850 — BRIANNA RODRIGUEZ
Practice Location Address:

1380 PANTHEON WAY STE 150
SAN ANTONIO, TX
78232-2289

Practice Phone: 210-884-6522
Practice Fax:

1659224111 — CENTER FOR CHANGING, BECOMING, GROWING, PLLC
Practice Location Address:

1380 PANTHEON WAY STE 150
SAN ANTONIO, TX
78232-2289

Practice Phone: 210-884-6522
Practice Fax:

1366398026 — KELSEY RENEA HAYES FNP-C
Practice Location Address:

555 WASHINGTON ST
SAN DIEGO, CA
92103-2289

Practice Phone: 619-260-8300
Practice Fax:

Directions to “ MR. SCOTT LANCE LAROQUE CNIM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.