| Comprehensive Neuromonitoring Pllc | |
|
1411 N Loop 1064 E 105-612 San Antonio TX 78232 | |
| (210) 598-4225 | |
| (210) 598-7268 |
| Full Name | Comprehensive Neuromonitoring Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1411 N Loop 1064 E 105-612, San Antonio, Texas |
| Authorized Official Name and Position | Brenda Thiele (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2105984225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Neuromonitoring Pllc 1411 N Loop 1064 E 105-612 San Antonio TX 78232 Ph: (210) 598-4225 | Comprehensive Neuromonitoring Pllc 1411 N Loop 1064 E 105-612 San Antonio TX 78232 Ph: (210) 598-4225 |
| NPI Number | 1336522051 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336522051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Secondary |
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