Organization
TEXOMA BRAIN AND SPINE SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C MOLLESTON MD (OWNER/PHYSICIAN)
(903) 416-6460
Entity
Organization
Contact information
Practice address
5012 SOUTH US HWY 75, SUITE 220, DENISON, TX 75020-4598
(903) 416-6460
Mailing address
5012 SOUTH US HWY 75, SUITE 220, DENISON, TX 75020-4598
(903) 416-6460
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
J4930
TX
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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