Organization
WAVEFORM NEUROMONITORING, LLC
Active
Other names
Waveform Neuromonitoring, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANISA GOPALANI MD (PHYSICIAN PARTNER)
(832) 236-5922
Entity
Organization
Contact information
Practice address
503 MEDICAL CENTER BLVD STE 110, CONROE, TX 77304-2928
(936) 756-3459
(936) 756-3452
Mailing address
2245 N LOOP 336 W STE B, CONROE, TX 77304-3637
(936) 756-3464
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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