Organization
CORE NEURODIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNA LAROQUE (DIRECTOR OF CLIENT EXPERIENCE)
(210) 598-4277
Entity
Organization
Contact information
Practice address
5080 SPECTRUM DR STE 1100E, ADDISON, TX 75001-4688
(210) 598-4277
Mailing address
1141 N LOOP 1604 E # 105-612, SAN ANTONIO, TX 78232-1339
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
05/30/2023
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