Unknown Individual – Clinical Neurophysiology Physician, NPI 1871189746
Clinical Neurophysiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
21351 GENTRY DR STE 125
STERLING, VA 201668511
Phone: (210) 598-4277
Type: Location
1141 N LOOP 1604 E #105-612
SAN ANTONIO, TX 78232
Phone: (210) 598-4277
Type: Mailing
20130 LAKEVIEW CENTER PLZ STE 400
ASHBURN, VA 201475905
Phone: (210) 598-4277
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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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 20166)
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