NEURO WAVE PHYSIOLOGY LLC NPI 1487047551

NPI Information

NPI: 1487047551
Provider Name: NEURO WAVE PHYSIOLOGY, LLC
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Organization

Specialization: Electroneurodiagnostic

Address:
5080 SPECTRUM DR STE 1100E
ADDISON, TX
ZIP 75001
Phone: (360) 819-1474
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NEURO WAVE PHYSIOLOGY, LLC is an electroneurodiagnostic specialist technologist other in Addison, TX. NEURO WAVE PHYSIOLOGY, LLC NPI is 1487047551. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5080 SPECTRUM DR STE 1100E
ADDISON, TX
ZIP 75001-688
Phone: (360) 819-1474

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) 598-2801.

The enumeration date for this NPI number is 3/12/2015 and was last updated on 3/8/2022.

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
1	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology			No
2	246ZE0600X	Specialist/Technologist, Other	Electroneurodiagnostic			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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