Organization
NEUROLOGICAL SURGERY SPECIALIST OF NORTH TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KERN JR. MD (OWNER -SOLE MEMBER)
(940) 723-4572
Entity
Organization
Contact information
Practice address
3808 KEMP BLVD STE A, WICHITA FALLS, TX 76308-2150
(940) 234-3000
(940) 234-3005
Mailing address
3808 KEMP BLVD STE A, WICHITA FALLS, TX 76308-2150
(940) 234-3000
(940) 234-3005
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3775967-01
—
TX
05
—
377596701
—
TX
Enumeration date
01/07/2019
Last updated
08/30/2019
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