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Organization

MID CENTRAL NEURO AFFILIATES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER MICHAEL (MANAGER)
(214) 823-2052
Entity
Organization

Contact information

Practice address
6080 N CENTRAL EXPY STE 150, DALLAS, TX 75206-5202
(210) 598-4262
Mailing address
1141 N LOOP 1604 E # 105-612, SAN ANTONIO, TX 78232-1339
(210) 598-4262

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
04/03/2020
Last updated
09/07/2023
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