Organization
M & M NEUROLOGY, PLLC
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
2915 W BITTERS RD STE 201, SAN ANTONIO, TX 78248
(210) 598-4277
Mailing address
1141 N LOOP 1604 E #105-612, SAN ANTONIO, TX 78232-1339
(210) 598-4277
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
10/07/2015
Last updated
05/24/2024
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