Organization · Type 2 NPI

Spine Shield, PLLC

Clinical Neurophysiology Physician · Oklahoma City, OK

NPI number 1154784189 Active

Practice location

10001 S. Western Ave, Suite 101
Oklahoma City, OK 73139

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Electrodiagnostic Medicine Physician 204R00000XNone listed
Neurology Physician 2084N0400XNone listed
Clinical Neurophysiology Physician Primary 2084N0600XNone listed
Electroneurodiagnostic Specialist/Technologist 246ZE0600XNone listed

Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

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About NPI 1154784189

Spine Shield, PLLC's National Provider Identifier is 1154784189, issued on Mar 29, 2016. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Oklahoma City, OK. The record was last updated on Nov 19, 2024.