Oliver Lee Kesterson in Fort Worth - Neurological Surgery

Oliver Lee Kesterson - NPI 1306997515

Oliver Lee Kesterson is a Neurological Surgery in Fort Worth, Texas. Oliver Lee Kesterson practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Oliver Lee Kesterson is 1306997515. The last update date is 2021-11-30.

Oliver Lee Kesterson's current location address is 1500 S Main St, Fort Worth, Texas. You can contact this provider via phone number 8177023100 and fax number 8179273603. The mailing address for Oliver Lee Kesterson is 1500 S Main St, Fort Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Oliver Lee Kesterson
Address 1500 S Main St, Fort Worth, Texas
Phone Number 8177023100
Fax Number 8179273603
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1306997515
Provider Enumeration Date 2007-01-15
Last Updated Date 2021-11-30

Provider Mailing Address Detail

Address 1500 S Main St
City Fort Worth
State Texas (TX)
Post Code 761044917
Phone Number 8177023100
Fax Number 8179273603

Provider's Primary Taxonomy Detail

Speciality Neurological Surgery
Taxonomy 207T00000X
Licence No 18384
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
646000515 TX TRICARE
646000515 TRICARE
OK04289020 MS --

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FAQs about Oliver Lee Kesterson

What is the Oliver Lee Kesterson's 1306997515?

The Oliver Lee Kesterson's NPI (National Provider Identifier) Number is 1306997515. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Oliver Lee Kesterson?

The Oliver Lee Kesterson is physically situated at 1500 S Main St, in the city of Fort Worth, state of TX, with the postal code 761044917.

What is Oliver Lee Kesterson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Oliver Lee Kesterson's area of specialization is Neurological Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207T00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1306997515 to Oliver Lee Kesterson?

The Oliver Lee Kesterson received its 1306997515 assignment from the Centers for Medicare & Medicaid Services on 2007-01-15.

When was the Oliver Lee Kesterson's information last updated?

The Oliver Lee Kesterson's information was last updated on 2021-11-30.

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