Organization
SPRING IOM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETTE MORIN (MDMS NPI ADMINISTRATOR)
(210) 598-2801
Entity
Organization
Contact information
Practice address
11200 FUQUA ST, STE 100 #184, HOUSTON, TX 77089-2581
(346) 307-9930
Mailing address
11200 FUQUA ST, STE 100 #184, HOUSTON, TX 77089-2581
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
07/31/2017
Last updated
07/31/2017
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