Neuroden, Pllc | |
9150 Huebner Rd #290 San Antonio TX 78240 | |
(210) 598-4277 | |
(210) 566-1330 |
Full Name | Neuroden, Pllc |
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Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
Location | 9150 Huebner Rd #290, San Antonio, Texas |
Authorized Official Name and Position | Roxanna 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 |
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Neuroden, Pllc 1141 N Loop 1604 E #105-612 San Antonio TX 78232 Ph: (210) 598-4277 | Neuroden, Pllc 9150 Huebner Rd #290 San Antonio TX 78240 Ph: (210) 598-4277 |
NPI Number | 1245578459 |
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Provider Enumeration Date | 01/23/2013 |
Last Update Date | 08/31/2022 |
Certification Date | 08/31/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245578459 | 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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