Organization
GSGNM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER)
(210) 598-2801
Entity
Organization
Contact information
Practice address
8403 STATE HIGHWAY 151, STE 104 #538, SAN ANTONIO, TX 78245
(210) 714-5507
Mailing address
8403 STATE HIGHWAY 151, STE 104 #537, SAN ANTONIO, TX 78245-2055
(210) 714-5507
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
01/13/2010
Last updated
09/06/2017
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