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Organization
HEAD & NECK SURGICAL ASSOCIATES
Active
Organization
HEAD & NECK SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY B PRESTRIDGE MD (PRESIDENT)
(940) 322-6953
Entity
Organization
Contact information
Practice address
1 BURNSIDE, WICHITA FALLS, TX 76310-1123
(940) 322-6953
(940) 767-9301
Mailing address
1 BURNSIDE, WICHITA FALLS, TX 76310-1123
(940) 322-6953
(940) 767-9301
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094815001
—
TX
Enumeration date
08/25/2005
Last updated
03/18/2015
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