Organization
SPINEGUARD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA ALDERETE (LEGAL OPERATIONS MANAGER)
(210) 598-2801
Entity
Organization
Contact information
Practice address
325 E SONTERRA BLVD SUITE 110, SAN ANTONIO, TX 78258
(210) 714-5552
Mailing address
MSC 009 PO BOX 4914, HOUSTON, TX 77210-4914
(210) 714-5552
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
04/07/2016
Last updated
04/27/2021
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