| Red Granite Neuromonitoring Llc | |
|
5080 Spectrum Dr Ste 1100e Addison TX 75001-4688 | |
| (262) 289-4322 | |
| Not Available |
| Full Name | Red Granite Neuromonitoring Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 5080 Spectrum Dr Ste 1100e, Addison, Texas |
| Authorized Official Name and Position | Roxanna Laroque (CLIENT EXPERIENCE MANAGER) |
| Authorized Official Contact | 2105982800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Granite Neuromonitoring Llc 1141 N Loop 1604 E # 105-612 San Antonio TX 78232-1339 Ph: () - | Red Granite Neuromonitoring Llc 5080 Spectrum Dr Ste 1100e Addison TX 75001-4688 Ph: (262) 289-4322 |
| NPI Number | 1740755305 |
|---|---|
| Provider Enumeration Date | 10/10/2018 |
| Last Update Date | 05/09/2022 |
| Certification Date | 05/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740755305 | NPI | - | NPPES |
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