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Medimetro, PLLC

in Bellaire, TX. Organization (NPI-2).

NPI number1477918381
StatusActive
Last updated in NPPESJul 19, 2022

Details

NPI
1477918381
Entity type
Organization (NPI-2)
Legal business name
Medimetro, PLLC
Organization subpart
No
Enumeration date
Dec 18, 2015
Certification date
Jul 19, 2022
Last updated
Jul 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0600X ––Yes
204R00000X Electrodiagnostic Medicine––
2084N0400X Psychiatry & Neurology, Neurology––
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic––

Practice location

5420 W Loop S #2300
Bellaire, TX 77401

Phone 210-598-4277

Mailing address

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

Phone 210-598-4277

Authorized official

Roxanna Laroque
Director Of Client Experience
2105984277

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