Organization
JW NEURO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER)
(210) 598-2801
Entity
Organization
Contact information
Practice address
815 BRAZOS ST, STE A #467, AUSTIN, TX 78701-2514
(512) 538-2176
Mailing address
815 BRAZOS ST, STE A #467, AUSTIN, TX 78701-2514
(512) 538-2176
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
12/21/2016
Last updated
07/21/2022
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