Organization
GULF CAOST NEUROPHYSIOLOGY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH NORVILL DO (OWNER/DIRECTOR)
(210) 854-9488
Entity
Organization
Contact information
Practice address
607 BASSWOOD ST, VICTORIA, TX 77904-9694
(210) 854-9488
Mailing address
607 BASSWOOD ST, VICTORIA, TX 77904-9694
(210) 854-9488
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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