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Organization

NEURIOM, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALISSA FISHER (ENROLLMENT COMPLIANCE OFFICER)
(210) 598-4240
Entity
Organization

Contact information

Practice address
4007 MCCULLOUGH AVE, #243, SAN ANTONIO, TX 78212
(210) 714-5534
(210) 598-2815
Mailing address
4007 MCCULLOUGH AVE, #243, SAN ANTONIO, TX 78212
(210) 714-5534
(210) 566-1330

Taxonomy

Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
2084N0600X
Clinical Neurophysiology Physician
Primary

Other

Enumeration date
12/27/2011
Last updated
04/19/2017
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