Organization
IMPEDANCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MCCLINTOCK (COMPLIANCE OFFICER)
(866) 374-6628
Entity
Organization
Contact information
Practice address
18756 STONE OAK PKWY, STE 200, SAN ANTONIO, TX 78258-4790
(866) 374-6628
(866) 951-1120
Mailing address
18756 STONE OAK PKWY, STE 200, SAN ANTONIO, TX 78258-4790
(866) 374-6628
(866) 951-1120
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
04/05/2022
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