Organization
RED RIVER NEURODIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNA LAROQUE (DIRECTOR, CLIENT EXPERIENCE)
(210) 598-2801
Entity
Organization
Contact information
Practice address
5080 SPECTRUM DRIVE SUITE 1100E, ADDISON, TX 75001
(210) 598-2800
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
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
07/11/2016
Last updated
05/18/2022
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