Organization · Type 2 NPI
1012 Diagnostics, PLLC
Clinical Neurophysiology Physician · Highland Village, TX
Practice location
3105 Overlook Cir
Highland Village, TX 75077-1840
Mailing address
1141 N Loop 1604 E # 105-612
San Antonio, TX 78232-1339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | None listed |
| Neurology Physician | 2084N0400X | None listed |
| Clinical Neurophysiology Physician Primary | 2084N0600X | None listed |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | None 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).
About NPI 1457076663
1012 Diagnostics, PLLC's National Provider Identifier is 1457076663, issued on Oct 10, 2022. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Highland Village, TX. The record was last updated on Oct 10, 2022.