Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Itachico, PLLC

Organization Electrodiagnostic Medicine Physician · NPI 1417617986

Itachico, PLLC is an Electrodiagnostic Medicine Physician in Round Rock, Texas. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2214 Hamlet Cir
Round Rock, TX 78664
Phone: (210) 598-4277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X
Electrodiagnostic Medicine Physician Taxonomy 204R00000X
Neurology Physician Taxonomy 2084N0400X
Electroneurodiagnostic Specialist/Technologist Taxonomy 246ZE0600X

Record details

NPI number1417617986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roxanna Laroque — Director Of Client Experience · (210) 598-4277
NPI enumeratedDecember 27, 2021
Last updated in NPPESOctober 3, 2024
Certification dateDecember 27, 2021
Mailing address1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339

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