Organization · Type 2 NPI

North Texas Premier Iom PLLC

Clinical Neurophysiology Physician · San Antonio, TX

NPI number 1790699650 Active

Practice location

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

Mailing address

17051 Dallas Pkwy Ste 370
Addison, TX 75001-7113

Specialties and licenses

TaxonomyCodeLicense
Clinical Neurophysiology Physician Primary 2084N0600XNone 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 1790699650

North Texas Premier Iom PLLC's National Provider Identifier is 1790699650, issued on Sep 29, 2026. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in San Antonio, TX. The record was last updated on Oct 22, 2026.