PROGUIDANCE IOM PLLC NPI 1366898561

NPI Information

  • NPI: 1366898561
  • Provider Name: PROGUIDANCE IOM, PLLC
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Organization
  • Address: 4444 HERITAGE TRACE PKWY STE 408
    KELLER, TX
    ZIP 76244
  • Phone: (210) 598-4277

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NPI Details

PROGUIDANCE IOM, PLLC is a clinical neurophysiology psychiatry neurology in Keller, TX. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). PROGUIDANCE IOM, PLLC NPI is 1366898561. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4444 HERITAGE TRACE PKWY STE 408
KELLER, TX
ZIP 76244
Phone: (210) 598-4277

The provider's authorized official is Roxanna Laroque .
The authorized official title is Director Of Client Experience and has the following contact phone number (210) 598-4277.

The enumeration date for this NPI number is 5/6/2016 and was last updated on 8/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyNo
2246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticNo
3204R00000XElectrodiagnostic MedicineNo
42084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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