Wellspine Monitoring, PLLC
in Dallas, TX. Organization (NPI-2).
NPI number1720344179
StatusActive
Last updated in NPPESJun 10, 2022
Details
- NPI
- 1720344179
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellspine Monitoring, PLLC
- Organization subpart
- No
- Enumeration date
- Apr 10, 2012
- Certification date
- Jun 10, 2022
- Last updated
- Jun 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0600X | – | – | Yes | |
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – |
Practice location
25 Highland Park Village Ste 100Dallas, TX 75205-2726
Phone 469-283-0202
Mailing address
1141 N Loop 1604 E #105-612San Antonio, TX 78232
Phone 469-283-0202
Authorized official
Roxanna Laroque
Director Of Client Experience
2105982801
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