RIVER VALLEY NEUROPHYSIOLOGY, PLLC


Address: 4007 Mccullough Avenue, #238, San Antonio, TX 78212
Phone: 2107145538

RIVER VALLEY NEUROPHYSIOLOGY, PLLC (NPI# 1164744165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164744165
Entity Type Organization
Organization Name RIVER VALLEY NEUROPHYSIOLOGY, PLLC
Practice Address 4007 Mccullough Avenue
#238
San Antonio
TX 78212
Practice Telephone 2107145538
Mailing Telephone 2107145538
Enumeration Date 2010-02-18
Last Update Date 2018-06-26
Authorized Official Name LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER)
Authorized Official Telephone 2105982800
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 4007 MCCULLOUGH AVENUE
#238
City SAN ANTONIO
State TX
Zip Code 78212

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Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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1386920106 Omega Southwest, Pllc Psychiatry & Neurology 313 Limestone Creek Rd, San Antonio, TX 78232-3503 2011-10-25
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1386977064 Grmnm, Pllc Psychiatry & Neurology 10730 Potranco Rd, Ste 122 #195, San Antonio, TX 78251-3330 2009-09-11
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Competitor

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City SAN ANTONIO
Zip Code 78212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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