Organization
SAN ANTONIO MONITORING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT LAROQUE I (MANAGER)
(210) 854-9488
Entity
Organization
Contact information
Practice address
6338 N NEW BRAUNFELS AVE, SAN ANTONIO, TX 78209-3826
(210) 854-9488
Mailing address
6338 N NEW BRAUNFELS AVE, SAN ANTONIO, TX 78209-3826
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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