Unknown Individual – Electroneurodiagnostic Specialist/Technologist, NPI 1669648010
Electroneurodiagnostic Specialist/Technologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1141 N LOOP 1604 E # 105-612
SAN ANTONIO, TX 782321339
Phone: (318) 629-5560
Type: Mailing
Line Avenue, Shreveport, Caddo Parish, Louisiana, 71106, United States
SUITE 200
SHREVEPORT, LA 711014639
Phone: (318) 629-5560
Type: Location
5080 SPECTRUM DR STE 1100E
ADDISON, TX 750014688
Phone: (318) 629-5560
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78232)
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