Independent Neurophysiology Pllc

NPI #1043591100 in Schertz, Texas

Provider Information

NPI Number: 1043591100
Entity Type: Organization
Organization Name: Independent Neurophysiology Pllc
Primary Specialty: Psychiatry & Neurology - Clinical Neurophysiology
Enumeration Date: Sep 2, 2011
Last Updated: Sep 2, 2011

Practice Location

Address: 524 EXCHANGE AVE STE C
City: Schertz
State: Texas
ZIP Code: 78154-2116
Phone: (210) 236-7266

Authorized Official

Name: SCOTT LAROQUE, CNIM
Title: PRESIDENT
Phone: (210) 566-2333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Clinical Neurophysiology — Clinical Neurophysiology	2084N0600X	Primary

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