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TEXOMA BRAIN AND SPINE SURGERY PLLC NPI 1831136217


NPI Information

NPI: 1831136217
Provider Name: TEXOMA BRAIN AND SPINE SURGERY, PLLC
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
5012 S US HIGHWAY 75 STE 220
DENISON, TX
ZIP 75020
Phone: (903) 416-6460
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TEXOMA BRAIN AND SPINE SURGERY, PLLC is a legal medicine in Denison, TX. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. TEXOMA BRAIN AND SPINE SURGERY, PLLC NPI is 1831136217. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5012 S US HIGHWAY 75 STE 220
DENISON, TX
ZIP 75020-598
Phone: (903) 416-6460
Fax: (866) 291-0393

The provider's authorized official is Michael C Molleston .
The authorized official title is Neurosurgeron and has the following contact phone number (601) 606-0979.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 8/15/2016.


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
1173000000XLegal Medicine14374MSMISSISSIPPINo
2173000000XLegal Medicine14374MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F63635MEDICARE UPINMISSISSIPPI
2140000134MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
305783854MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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