Organization
NEO SERVICES, LLC
Active
Other names
Northeastern Oklahoma Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN PAYNE (COO)
(469) 592-8366
Entity
Organization
Contact information
Practice address
9728 GREENVILLE AVE, DALLAS, TX 75243-4122
(539) 664-5480
Mailing address
9728 GREENVILLE AVE, DALLAS, TX 75243-4122
(539) 664-5480
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/27/2013
Last updated
03/23/2022
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