Organization
MIDWEST NEURO SOLUTIONS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SPARKS (OWNER)
(214) 675-0905
Entity
Organization
Contact information
Practice address
9521 RIVERSIDE PWKY, #338, TULSA, OK 74137-7304
(214) 675-0905
(214) 317-4888
Mailing address
PO BOX 108822, OKLAHOMA CITY, OK 73101-8822
(214) 675-0905
(214) 317-4888
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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