Flag Ship Diagnostics, Pllc | |
18626 Hardy Oak Blvd Suite 300 San Antonio TX 78258 | |
(210) 598-4262 | |
(210) 566-1330 |
Full Name | Flag Ship Diagnostics, Pllc |
---|---|
Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
Location | 18626 Hardy Oak Blvd Suite 300, San Antonio, Texas |
Authorized Official Name and Position | Roxanna Laroque (DIRECTOR OF CLIENT EXPERIENCE) |
Authorized Official Contact | 2105984262 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Flag Ship Diagnostics, Pllc 1141 N Loop 1604 E #105-612 San Antonio TX 78232 Ph: (210) 598-4262 | Flag Ship Diagnostics, Pllc 18626 Hardy Oak Blvd Suite 300 San Antonio TX 78258 Ph: (210) 598-4262 |
NPI Number | 1962749259 |
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Provider Enumeration Date | 01/07/2013 |
Last Update Date | 08/19/2022 |
Certification Date | 08/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962749259 | 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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