NPI age
20 years
Enumerated 2006-05-24
Across 947 active neurological surgery providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OK) | 200079770A | |
| 01 (OK) | 24838 | OKLAHOMA STATE ID# |
| 05 (AR) | 186639001 | |
| 05 (KS) | 200418720A |
Part of a multi-provider practice. 41 other active providers share this practice address in NPPES.
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