Organization
ALAMO CITY NEURODIAGNOSTICS, PLLC
Active
Organization
ALAMO CITY NEURODIAGNOSTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER)
(210) 598-2801
Entity
Organization
Contact information
Practice address
14439 NW MILITARY HIGHWAY, STE 108 #301, SAN ANTONIO, TX 78231-1648
(210) 714-5496
(210) 598-2816
Mailing address
14439 NW MILITARY HIGHWAY, STE 108 #301, SHAVANO PARK, TX 78231-1648
(210) 714-5496
(210) 598-2816
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
Other
Enumeration date
03/06/2015
Last updated
07/21/2022
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