Organization
JWWT NEUROMONITORING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNA LAROQUE (DIRECTOR OF CLIENT EXPERIENCE)
(210) 598-4277
Entity
Organization
Contact information
Practice address
1096 LANCASTER CT, WATKINSVILLE, GA 30677
(210) 598-4277
Mailing address
1141 N LOOP 1604 E # 105-612, SAN ANTONIO, TX 78232
(210) 598-4277
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
11/07/2022
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