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NPI Code Detail

MEDICARE: SANDSTONE INTRAOPERATIVE NEUROMONITORING PLLC

MEDICARE: SANDSTONE INTRAOPERATIVE NEUROMONITORING PLLC
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
12084N0600XClinical Neurophysiology Physician

General Provider Information

NPI Number : 1801417738
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANDSTONE INTRAOPERATIVE NEUROMONITORING PLLC
Provider Business Mailing Address
First Line : 18756 STONE OAK PKWY STE 200
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4354
Country : US
Telephone Number : 888-851-3677
Fax Number :
Provider Business Practice Location Address
First Line : 18756 STONE OAK PKWY STE 200
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-4354
Country : US
Telephone Number : 888-851-3677
Fax Number :
Authorized Official
Title or Position : BILLING DIRECTOR
Name : AISHA BAILEY
Credential :
Telephone Number : 888-851-3677
Provider Enumeration Date : 05/01/2020
Last Update Date : 05/01/2020

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