OrganizationActive
1012 Diagnostics, PLLC
NPI 1457076663 · Clinical Neurophysiology Physician · Highland Village, TX
Provider details
- NPI number
- 1457076663
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Roxanna Laroque, Director of Client Experience
Practice location
3105 Overlook Cir
Highland Village, TX 75077-1840
Phone: (210) 598-4277
Mailing address
1141 N Loop 1604 E # 105-612
San Antonio, TX 78232-1339
Registry dates
- Enumerated
- 2022-10-10
- Last updated
- 2022-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.