| Capitol Neurodiagnostics, Pllc | |
|
2200 Park Bend Dr. #202 Austin TX 78758 | |
| (210) 598-4277 | |
| (210) 566-1330 |
| Full Name | Capitol Neurodiagnostics, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 2200 Park Bend Dr. #202, Austin, Texas |
| Authorized Official Name and Position | Roxanne Laroque (DIRECTOR OF CLIENT EXPERIENCE) |
| Authorized Official Contact | 2105984277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Neurodiagnostics, Pllc 1141 N Loop 1604 E #105-612 San Antonio TX 78232 Ph: (210) 598-4277 | Capitol Neurodiagnostics, Pllc 2200 Park Bend Dr. #202 Austin TX 78758 Ph: (210) 598-4277 |
| NPI Number | 1578809349 |
|---|---|
| Provider Enumeration Date | 12/21/2012 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578809349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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