Organization Active NPI

Medical Diagnostics Neurology Services, PLLC

  • Clinical Neurophysiology Physician
  • Schertz, TX
National Provider Identifier
1619271541
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
MEDICAL DIAGNOSTICS NEUROLOGY SERVICES, PLLC
Doing business as
MD Neurology Services
Practice address
524 Exchange Ave Ste C
Schertz, TX 78154-2116
Phone
(210) 566-2333
Fax
(210) 497-5050
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Authorized official

Name
Scott Lance Laroque
Title
Ceo
Phone
(210) 854-9488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-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) 566-2333

Other names 1

  • MD Neurology Services Doing business as

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1619271541",
    "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": "210-566-2333",
            "fax_number": "210-497-5050"
        },
        {
            "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": "210-566-2333",
            "fax_number": "210-497-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTICS NEUROLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "LAROQUE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-854-9488"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Neurology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 6, 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.