Organization · Type 2 NPI
Advanced Neuroscience Clinic, PA
Neurology Physician · Odessa, TX
NPI number
1104954049
Active
Practice location
601 E 2nd St Ste E
Odessa, TX 79761-5435
Fax (432) 687-6299
Mailing address
PO Box 4100
Midland, TX 79704-4100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | L2914 (TX) |
| Neurology Physician | 2084N0400X | M3833 (TX) |
| Clinical Neurophysiology Physician | 2084N0600X | L2914 (TX) |
| Clinical Neurophysiology Physician | 2084N0600X | M3833 (TX) |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | L2914 (TX) |
| Medical Physician Assistant | 363AM0700X | PA04008 (TX) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Other neurology physician providers in Odessa
About NPI 1104954049
Advanced Neuroscience Clinic, PA's National Provider Identifier is 1104954049, issued on Mar 1, 2007. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Odessa, TX. The record was last updated on Oct 8, 2024.