OrganizationActive
Facilitate Therapeutics, PLLC
NPI 1063930949 · Clinical Neurophysiology Physician · Austin, TX
Provider details
- NPI number
- 1063930949
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roxanna Laroque, Director of Client Experience(210) 598-4277
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Electrodiagnostic Medicine Physician204R00000X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Technologists, Technicians & Other Technical Service Providers
Practice location
4611 Guadalupe St. Suite 200
Austin, TX 78751
Phone: (210) 598-4277
Approximate (ZIP-level) locationGet directions
Mailing address
1141 N Loop 1604 E #105-612
San Antonio, TX 78232
Registry dates
- Enumerated
- 2017-08-31
- Last updated
- 2022-07-19
- Certified
- 2022-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.