Individual provider · Type 1 NPI

Kristine Fodolovic

Electroneurodiagnostic Specialist/Technologist · San Antonio, TX

NPI number 1104344266 Active

Practice location

1141 N Loop 1604 E Ste 105-612
San Antonio, TX 78232-1339

Call (210) 598-2800 Map

Fax (210) 598-4236

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1104344266

Kristine Fodolovic's National Provider Identifier is 1104344266, issued on Sep 8, 2017. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in San Antonio, TX. The record was last updated on Jun 15, 2026.