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MUSTANG NEURODIAGNOSTICS, PLLC
NPI 1780047852
Psychiatry & Neurology - Clinical Neurophysiology in Addison, TX

Active since April 05, 2016
17051 DALLAS PKWY SUITE 400, ADDISON, TX 75001(210) 598-4277 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2022, Apr 26, 2021, Nov 14, 2016 (3 updates tracked since 2016).

About Mustang Neurodiagnostics, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUSTANG NEURODIAGNOSTICS, PLLC (NPI 1780047852) is a healthcare organization registered as a clinical neurophysiology in Addison, Texas and active in the NPI registry since April 2016. The organization lists Roxanna Laroque, Director Of Client Experience, as its authorized official.

NPPES Registry Identity

NPI1780047852
Entity TypeOrganization
Primary Taxonomy2084N0600X
Legal Business NameMUSTANG NEURODIAGNOSTICS, PLLC
Location Address17051 DALLAS PKWY SUITE 400Addison, TX 75001
Mailing Address1141 N Loop 1604 E #105-612San Antonio, TX 78232 · (210) 598-4277
Phone(210) 598-4277
Organization SubpartNo
Authorized OfficialRoxanna LaroqueDirector Of Client Experience · (210) 598-4277
Enumeration DateApril 5, 2016
Last NPPES UpdateJuly 19, 20223 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
✔ NPI 1780047852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
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).
Also ListedElectrodiagnostic MedicineTaxonomy 204R00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSpecialist/Technologist, Other · ElectroneurodiagnosticTaxonomy 246ZE0600X
17051 DALLAS PKWY SUITE 400, Addison, TX 75001
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mustang Neurodiagnostics, PLLC's NPI number?

The NPI number for Mustang Neurodiagnostics, PLLC is 1780047852. It was assigned to this organization in the NPPES registry on April 5, 2016.

Where is Mustang Neurodiagnostics, PLLC located?

Mustang Neurodiagnostics, PLLC is located at 17051 Dallas Pkwy Suite 400, Addison, TX 75001. The listed phone number is (210) 598-4277.

What is Mustang Neurodiagnostics, PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

When was this NPI record last updated?

The NPPES record for Mustang Neurodiagnostics, PLLC was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.