Organization
PHYSIOLOGIC ASSESSMENT SERVICES, LLC
Active
Organization
PHYSIOLOGIC ASSESSMENT SERVICES, LLC
Active
Parent organization
MEDSURANT HOLDINGS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDSURANT HOLDINGS LLC
Authorized official
TIFFANY FRYE (CFO)
(484) 351-8459
Entity
Organization
Contact information
Practice address
33 WOOD AVE S STE 600, ISELIN, NJ 08830-2717
(484) 351-8459
(484) 351-8810
Mailing address
1141 N LOOP 1604 E STE 105-484, SAN ANTONIO, TX 78232-1339
(484) 351-8459
(484) 351-8810
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
08/09/2012
Last updated
06/26/2026
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