GRANITE ANESTHESIA NPI 1548773203

NPI Information

  • NPI: 1548773203
  • Provider Name: GRANITE ANESTHESIA
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Organization
  • Doing Business As: GRANITE CLINICAL SERVICES
  • Address: 2915 W BITTERS RD STE 201
    SAN ANTONIO, TX
    ZIP 78248
  • Phone: (210) 598-4262

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NPI Details

GRANITE ANESTHESIA is a clinical neurophysiology psychiatry neurology in San Antonio, TX. The provider is 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). GRANITE ANESTHESIA NPI is 1548773203. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Granite Clinical Services.

The provider's business location address is:

2915 W BITTERS RD STE 201
SAN ANTONIO, TX
ZIP 78248-007
Phone: (210) 598-4262

The provider's authorized official is Roxanna Laroque .
The authorized official title is Client Experience Manager and has the following contact phone number (210) 598-2800.

The enumeration date for this NPI number is 11/15/2017 and was last updated on 1/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantNo
2204R00000XElectrodiagnostic MedicineNo
3207L00000XAnesthesiologyNo
42084N0400XPsychiatry & NeurologyNeurologyNo
5246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticNo
62084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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