| Neurology And Electromyography Clinic | |
|
4201 Marathon Blvd Ste 304 Austin TX 78756-3436 | |
| (512) 371-1200 | |
| Not Available |
| Full Name | Neurology And Electromyography Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4201 Marathon Blvd, Austin, Texas |
| Authorized Official Name and Position | Gary Campbell (ACCOUNT MANAGER) |
| Authorized Official Contact | 5126749002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology And Electromyography Clinic 4201 Marathon Blvd Ste 304 Austin TX 78756-3410 Ph: (512) 371-1200 | Neurology And Electromyography Clinic 4201 Marathon Blvd Ste 304 Austin TX 78756-3436 Ph: (512) 371-1200 |
| NPI Number | 1912183641 |
|---|---|
| Provider Enumeration Date | 01/11/2008 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912183641 | NPI | - | NPPES |
| 155764701 | Medicaid | TX | |
| 00579T | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | L2112 (Texas) | Primary |
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