Organization
NACOGDOCHES SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEAL GREGORY HAYNES MD (OWNER)
(936) 560-1190
Entity
Organization
Contact information
Practice address
625 RUSSELL BLVD, NACOGDOCHES, TX 75965-1247
(936) 560-1190
(936) 560-1823
Mailing address
625 RUSSELL BLVD, NACOGDOCHES, TX 75965-1247
(936) 560-1190
(936) 560-1823
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
N2561
TX
Other
Enumeration date
12/05/2011
Last updated
02/08/2012
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