Organization
ASPEN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT LAROQUE CNIM (PRESIDENT)
(210) 566-2333
Entity
Organization
Contact information
Practice address
524 EXCHANGE AVE, SUITE C, SCHERTZ, TX 78154-2116
(210) 566-2333
(210) 566-1330
Mailing address
PO BOX 592442, SAN ANTONIO, TX 78259-0172
(210) 566-2333
(210) 566-1330
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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