Organization · Type 2 NPI

East Texas Minimally Inva Micro NS

Neurological Surgery Physician · Longview, TX

NPI number 1730378449 Active

Practice location

703 E Marshall Ave, Suite 3004
Longview, TX 75601-5500

Fax (903) 238-8190

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1730378449

East Texas Minimally Inva Micro NS's National Provider Identifier is 1730378449, issued on Oct 18, 2007. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Longview, TX. The record was last updated on Jul 19, 2011.