| Waveform Neuromonitoring, Llc | |
|
503 Medical Center Blvd Ste 110 Conroe TX 77304-2928 | |
| (936) 756-3459 | |
| (936) 756-3452 |
| Full Name | Waveform Neuromonitoring, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 503 Medical Center Blvd Ste 110, Conroe, Texas |
| Authorized Official Name and Position | Anisa Gopalani (PHYSICIAN PARTNER) |
| Authorized Official Contact | 8322365922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waveform Neuromonitoring, Llc 2245 N Loop 336 W Ste B Conroe TX 77304-3637 Ph: (936) 756-3464 | Waveform Neuromonitoring, Llc 503 Medical Center Blvd Ste 110 Conroe TX 77304-2928 Ph: (936) 756-3459 |
| NPI Number | 1215493366 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 02/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215493366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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