Organization
TRAVIS COUNTY NEUROMONITORING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON MARSHALL MD (PRESIDENT)
(512) 538-2179
Entity
Organization
Contact information
Practice address
4301 W WILLIAM CANNON DR, SUITE B-150 #262, AUSTIN, TX 78749-1473
(512) 538-2179
Mailing address
4301 W WILLIAM CANNON DR, SUITE B-150 #262, AUSTIN, TX 78749-1473
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
01/16/2017
Last updated
01/16/2017
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