NPI 1124515572
Spinal Concepts, LLC
Practice location
- Address
- 301 W Jefferson Blvd STE 200, Fort Wayne, IN 46802-3043
- Phone
- (210) 598-4277
- Mailing address
- 1141 N Loop 1604 E #105-612, San Antonio, TX 78232
Authorised official
- Name
- Roxanna Laroque
- Title
- Director of Client Experience
- Phone
- (210) 598-2801
Registered specialties (4)
Clinical Neurophysiology Physician
Primary
Electrodiagnostic Medicine Physician
Neurology Physician
Electroneurodiagnostic Specialist/Technologist
Registry record
- NPI
- 1124515572
- Entity type
- Organization
- NPI issued
- 20 Apr 2018
- Record last updated
- 7 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.