Organization
GUADALUPE VALLEY NEUROLOGY AND ELECTRODIAGNOSTICS,P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA MALDONADO (OFFICE MANAGER)
(210) 403-2074
Entity
Organization
Contact information
Practice address
634 E COURT ST, STE 102, SEGUIN, TX 78155-5725
(830) 303-1819
Mailing address
115 GALLERY CIR STE 300, SAN ANTONIO, TX 78258-3389
(210) 403-2074
(210) 403-2078
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J7226
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099550802
—
TX
Enumeration date
09/28/2006
Last updated
04/16/2021
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