Organization · Type 2 NPI
Neurovital, PLLC
Clinical Neurophysiology Physician · Plano, TX
Practice location
4090 Mapleshade Lane Suite 100
Plano, TX 75093
Mailing address
1141 N Loop 1604 E #105-612
San Antonio, TX 78232
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).
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About NPI 1467815365
Neurovital, PLLC's National Provider Identifier is 1467815365, issued on Mar 30, 2016. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Plano, TX. The record was last updated on Jul 14, 2022.