Organization
OLYMPIA NEUROLOGICAL INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYESHA MOSQUITO (PHYSICIAN RELATIONS DIRECTOR)
(918) 519-4090
Entity
Organization
Contact information
Practice address
1502 BLUE RIDGE DR STE 301, GEORGETOWN, TX 78626-1002
(512) 409-9903
(918) 493-3304
Mailing address
6130 E 81ST ST, TULSA, OK 74137-2125
(918) 401-1002
(918) 493-3304
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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