Provider Demographics
NPI:1487953113
Name:NEUROMONITORING OF TEXAS, PLLC
Entity type:Organization
Organization Name:NEUROMONITORING OF TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENROLLMENT COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-598-4240
Mailing Address - Street 1:20770 HIGHWAY 281 NORTH
Mailing Address - Street 2:SUITE 108, #267
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258
Mailing Address - Country:US
Mailing Address - Phone:210-714-5536
Mailing Address - Fax:240-566-1330
Practice Address - Street 1:20770 HIGHWAY 281 NORTH
Practice Address - Street 2:SUITE 108, #267
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-714-5536
Practice Address - Fax:240-566-1330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Multi-Specialty