Texoma Brain and Spine Surgery, Pllc

NPI #1831136217 in Denison, Texas

Provider Information

NPI Number: 1831136217
Entity Type: Organization
Organization Name: Texoma Brain and Spine Surgery, Pllc
Primary Specialty: Legal Medicine
Enumeration Date: Jun 2, 2006
Last Updated: Aug 15, 2016

Practice Location

Address: 5012 S US HIGHWAY 75 STE 220
City: Denison
State: Texas
ZIP Code: 75020-4598
Phone: (903) 416-6460

Authorized Official

Name: DR. MICHAEL C MOLLESTON, MD
Title: NEUROSURGERON
Phone: (601) 606-0979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X	Primary

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