MUSTANG NEURODIAGNOSTICS PLLC NPI 1780047852

NPI Information

  • NPI: 1780047852
  • Provider Name: MUSTANG NEURODIAGNOSTICS, PLLC
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Organization
  • Address: 17051 DALLAS PKWY SUITE 400
    ADDISON, TX
    ZIP 75001
  • Phone: (210) 598-4277

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NPI Details

MUSTANG NEURODIAGNOSTICS, PLLC is a clinical neurophysiology psychiatry neurology in Addison, 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). MUSTANG NEURODIAGNOSTICS, PLLC NPI is 1780047852. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17051 DALLAS PKWY SUITE 400
ADDISON, TX
ZIP 75001
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 4/5/2016 and was last updated on 7/19/2022.

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
1204R00000XElectrodiagnostic MedicineNo
22084N0400XPsychiatry & NeurologyNeurologyNo
3246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticNo
42084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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