Organization
GINGER, PLLC
Active
Organization
GINGER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETTE MORIN (MDMS ADMINISTRATOR)
(210) 598-2801
Entity
Organization
Contact information
Practice address
1050 E 2ND ST, #295, EDMOND, OK 73034-5313
(405) 697-3196
Mailing address
1050 E 2ND ST, #295, EDMOND, OK 73034-5313
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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