Active NPI
Medical Diagnostics Neurology Services, PLLC
- Clinical Neurophysiology Physician
- Schertz, TX
National Provider Identifier
1619271541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.