Advanced Neuroscience Clinic, PA

NPI #1104954049 in Odessa, Texas

Provider Information

NPI Number: 1104954049
Entity Type: Organization
Organization Name: Advanced Neuroscience Clinic, PA
Primary Specialty: Psychiatry & Neurology - Neurology
Enumeration Date: Mar 1, 2007
Last Updated: Oct 8, 2024

Practice Location

Address: 601 E 2ND ST STE E
City: Odessa
State: Texas
ZIP Code: 79761-5435
Phone: (432) 570-9991

Authorized Official

Name: CHAD HAGGERTON
Title: BUSINESS OFFICE MGR.
Phone: (432) 687-6203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Neurology — Neurology	2084N0400X	Primary
Psychiatry & Neurology - Clinical Neurophysiology — Clinical Neurophysiology	2084N0600X
Psychiatry & Neurology - Sleep Medicine — Sleep Medicine	2084S0012X
Physician Assistant - Medical — Medical	363AM0700X

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