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Contact Information

NEURO GOLD, PLLC
11212 TX 151 MEDICAL PLAZA SUITE 260
SAN ANTONIO, TX78251
 Phone: 210-245-9973
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Electrodiagnostic Medicine

204R00000X
 

Electroneurodiagnostic

246ZE0600X
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for NEURO GOLD, PLLC

NPI # 1619503018
LBN Legal business name NEURO GOLD, PLLC
Authorized official ROXANNA LAROQUE - (DIRECTOR OF CLIENT EXPERIENCE)
Entity Organization
Organization subpart 1 No
Enumeration date 03/17/2020
Last updated 06/10/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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