| Over The Horizon Iom Llc | |
|
5080 Spectrum Drive Suite 1100e Addison TX 75001 | |
| (216) 282-9887 | |
| Not Available |
| Full Name | Over The Horizon Iom Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 5080 Spectrum Drive Suite 1100e, Addison, Texas |
| Authorized Official Name and Position | Roxanna Laroque (MANAGER, CLIENT EXPERIENCE) |
| Authorized Official Contact | 2105982801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Over The Horizon Iom Llc 1141 N Loop 1604 E # 105-612 San Antonio TX 78232-1339 Ph: () - | Over The Horizon Iom Llc 5080 Spectrum Drive Suite 1100e Addison TX 75001 Ph: (216) 282-9887 |
| NPI Number | 1881124113 |
|---|---|
| Provider Enumeration Date | 06/19/2017 |
| Last Update Date | 05/09/2022 |
| Certification Date | 05/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881124113 | NPI | - | NPPES |
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