Organization Active NPI

Independent Neurophysiology PLLC

  • Clinical Neurophysiology Physician
  • Schertz, TX
National Provider Identifier
1043591100
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
INDEPENDENT NEUROPHYSIOLOGY PLLC
Practice address
524 Exchange Ave Ste C
Schertz, TX 78154-2116
Phone
(210) 236-7266
NPI assigned
Sep 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott Laroque, CNIM
Title
President
Phone
(210) 566-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

524 Exchange Ave Ste C
Schertz, TX 78154-2116

Mailing address

524 Exchange Ave Ste C
Schertz, TX 78154-2116
Phone (210) 236-7266

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1043591100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 EXCHANGE AVE STE C",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542116",
            "telephone_number": "210-236-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 EXCHANGE AVE STE C",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542116",
            "telephone_number": "210-236-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT NEUROPHYSIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "LAROQUE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-566-2333",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.