Itachico, PLLC
NPI 1417617986 · Clinical Neurophysiology Physician · Round Rock, TX
Itachico, PLLC is a Clinical Neurophysiology Physician organization in Round Rock, TX (NPI 1417617986).
Provider details
- NPI number
- 1417617986
- 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
Technologists, Technicians & Other Technical Service Providers
- Electrodiagnostic Medicine Physician204R00000X
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-12-27
- Last updated
- 2024-10-03
- Certified
- 2021-12-27
Frequently asked questions
- What is Itachico, PLLC's NPI number?
- Itachico, PLLC's National Provider Identifier (NPI) is 1417617986, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Itachico, PLLC?
- Itachico, PLLC is classified in the NPPES registry as Clinical Neurophysiology Physician (Allopathic & Osteopathic Physicians).
- Where is Itachico, PLLC located?
- Itachico, PLLC's practice location on file with NPPES is 2214 Hamlet Circle, Round Rock, TX 78664.
- What is Itachico, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Itachico, PLLC is (210) 598-4277.
- Who is the authorized official for Itachico, PLLC?
- The authorized official listed on Itachico, PLLC's NPPES record is Roxanna Laroque, Director of Client Experience. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Itachico, PLLC's NPI active?
- Yes — Itachico, PLLC's NPI (1417617986) is active in the NPPES registry as of the last update on 2024-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.