TEXOMA BRAIN AND SPINE SURGERY, PLLC (NPI# 1831136217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831136217 |
| Entity Type | Organization |
| Organization Name | TEXOMA BRAIN AND SPINE SURGERY, PLLC |
| Practice Address |
5012 S Us Highway 75 Ste 220 Denison TX 75020-4598 |
| Practice Telephone | 9034166460 |
| Practice Fax Number | 8662910393 |
| Mailing Telephone | 9034166460 |
| Mailing Fax Number | 8662910393 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2016-08-15 |
| Authorized Official Name | DR. MICHAEL C MOLLESTON (NEUROSURGERON) |
| Authorized Official Telephone | 6016060979 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 173000000X | Legal Medicine | 14374MS | MS | Other Service Providers |
| Y | 173000000X | Legal Medicine | 14374 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05783854 | 05 |
| Street Address |
5012 S US HIGHWAY 75 STE 220 |
| City | DENISON |
| State | TX |
| Zip Code | 75020-4598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992775753 | Alok Jain | Pediatrics | 5012 S Us Highway 75 Ste 220, Denison, TX 75020-4598 | 2006-01-25 |
| 1174035117 | Texoma Liver Center Pllc | Internal Medicine | 5012 S Us Highway 75 Ste 220, Denison, TX 75020-4598 | 2017-10-31 |
| 1104096726 | Hesham Mohamed Elgouhari | Internal Medicine | 5012 S Us Highway 75 Ste 220, Denison, TX 75020-4598 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780210161 | Claudia Perez | Counselor | 6101 Hwy 691, Denison, TX 75020 | 2020-03-18 |
| 1356989800 | Chandler Stockwell | Perfusionist | 5016 North Highway 75, Denison, TX 75020 | 2019-12-16 |
| 1598301459 | Amanda Lauren Boyle | Family Medicine | 307 King Ave, Dennison, TX 75020 | 2019-11-25 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1558844399 | Leslie Jill Wilson | Speech-Language Pathologist | 3635 Rosewood Drive, Denison, TX 75020 | 2018-09-07 |
| 1487175758 | Amanda Hoyer | Physician Assistant | 5012 S Us Highway 75 Ste 150, Denison, TX 75020 | 2017-06-27 |
| 1679006076 | Michael Slack | Family Medicine | 5016 N Us Hwy 75, Denison, TX 75020 | 2017-04-04 |
| 1184171597 | Tanya Paschen | Nurse Practitioner | 1300 Tx-91, Denison, TX 75020 | 2016-09-01 |
| 1992154553 | Rhonda Howery | Durable Medical Equipment & Medical Supplies | 1001 W. Main St., Suite 101, Denison, TX 75020 | 2016-06-05 |
| 1801255088 | Denison Dental Pllc | Dentist | 3515 West Fm 120, Denison, TX 75020 | 2016-02-17 |
| Find all providers in zip 75020 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| 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. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477363 | Accurate Medical Evaluators, LLC | Legal Medicine | 2621 Fm 1201, Gainesville, TX 76240-1489 | 2020-11-07 |
| 1720404536 | Texas Star Anesthesia Management, LLP | Legal Medicine | 4020 Mcewen Rd, Suite 177, Dallas, TX 75244-5019 | 2014-03-17 |
| 1386919017 | Eastside Total Healthcare, LLC | Legal Medicine | 11680 Pebble Hills Blvd Ste 107-109, El Paso, TX 79936-1090 | 2012-03-13 |
| 1740586015 | Elite Sports Medicine Physical Therapy | Legal Medicine | 7125 New Sanger Rd Ste B, Waco, TX 76712-4054 | 2011-02-04 |
| 1578869103 | Vincent Joseph Dimaio | Legal Medicine | 10 Carriage Hls, San Antonio, TX 78257-1204 | 2011-01-29 |
| 1093023392 | Miguel Aleman,m.d&associates,p.a. | Legal Medicine | 1110 S 10th Ave, Edinburg, TX 78539-5514 | 2010-09-21 |
| 1386883007 | Callicoat Family Clinic | Legal Medicine | 1025 Deshong Dr, Paris, TX 75460-9330 | 2009-02-19 |
| 1003060153 | Dr. Michael R Kilgore Medical Group Pl L C | Legal Medicine | 5265 N 23rd St, Suite A, Mcallen, TX 78504-4004 | 2008-11-14 |
| 1538313002 | Family Practice Specialists,pa | Legal Medicine | 6300 W Parker Rd Ste 225, Plano, TX 75093-8102 | 2008-11-11 |
| 1184876039 | Sancak Yuksel | Legal Medicine | 6431 Fannin St # 5.036, Dept. of Otorhinolaryngology, Ut Health Science Center, Houston, TX 77030-1501 | 2008-10-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.