| Cortico Spinal Diagnostics, Llc | |
|
1141 N Loop 1604 E # 105-612 San Antonio TX 78232-1339 | |
| (210) 598-4225 | |
| (210) 598-7268 |
| Full Name | Cortico Spinal Diagnostics, Llc |
|---|---|
| Speciality | Specialist/technologist, Other - Electroneurodiagnostic |
| Location | 1141 N Loop 1604 E # 105-612, San Antonio, Texas |
| Authorized Official Name and Position | Roxanna Laroque (CLIENT EXPERIENCE MANAGER) |
| Authorized Official Contact | 2105982800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cortico Spinal Diagnostics, Llc 1141 N Loop 1604 E # 105-612 San Antonio TX 78232-1339 Ph: (210) 598-4225 | Cortico Spinal Diagnostics, Llc 1141 N Loop 1604 E # 105-612 San Antonio TX 78232-1339 Ph: (210) 598-4225 |
| NPI Number | 1720471899 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720471899 | NPI | - | NPPES |
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