Organization
ASTRO NEUROMONITORING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISAMARIE PATRIDGE CMC, CMIS (BILLER)
(972) 412-5299
Entity
Organization
Contact information
Practice address
7700 MAIN ST STE 365, HOUSTON, TX 77030-4456
(972) 412-5299
(469) 453-3374
Mailing address
3526 LAKEVIEW PKWY # B159, ROWLETT, TX 75088-4176
(972) 412-5299
(469) 453-3374
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
06/15/2021
Last updated
09/27/2022
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