Organization
KER ROCK ISLAND, 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
15950 DALLAS PKWY STE 400, DALLAS, TX 75248-6628
(469) 334-4307
Mailing address
MSC 927 PO BOX 660707, DALLAS, TX 75266-0707
(469) 334-4307
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
12/23/2019
Last updated
05/12/2021
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