Organization
ELEVATED NEURO LLC
Active
Other names
ELEVATED NEURO LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL SANCHEZ (DIRECTOR)
(855) 326-3876
Entity
Organization
Contact information
Practice address
719 SAWDUST RD STE 213, THE WOODLANDS, TX 77380
(855) 326-3876
(855) 326-3876
Mailing address
719 SAWDUST RD STE 213, THE WOODLANDS, TX 77380-2947
(855) 326-3876
(855) 326-3876
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
247200000X
Other Technician
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
04/23/2019
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