Organization
CLINTON J BAIRD PLC
Active
Other names
Olympia Neurological Institute
Organization subpart
No
Provider details
NPI number
Authorized official
TYESHA MOSQUITO (PHYSICIAN RELATIONS DIRECTOR)
(918) 519-4090
Entity
Organization
Contact information
Practice address
1401 MEDICAL PARKWAY, BUILDING B SUITE 412, CEDAR PARK, TX 78613
(512) 409-9903
(918) 493-3304
Mailing address
6130 E 81ST ST, TULSA, OK 74137-2101
(512) 409-9903
(918) 493-3304
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
06/19/2025
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