John Kyle Dorman in Odessa - Neurological Surgery
John Kyle Dorman - NPI 1215030333
John Kyle Dorman is a Neurological Surgery in Odessa, Texas. John Kyle Dorman practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for John Kyle Dorman is 1215030333. The last update date is 2014-03-25.
John Kyle Dorman's current location address is 540 W 5th St Ste 320, Odessa, Texas. You can contact this provider via phone number 4325804700 and fax number 4323322678. The mailing address for John Kyle Dorman is 540 W 5th St Ste 320, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Kyle Dorman |
|---|---|
| Address | 540 W 5th St Ste 320, Odessa, Texas |
| Phone Number | 4325804700 |
| Fax Number | 4323322678 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215030333 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2014-03-25 |
Provider Mailing Address Detail
| Address | 540 W 5th St Ste 320 |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 797615002 |
| Phone Number | 4325804700 |
| Fax Number | 4323322678 |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
| Licence No | L4342 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8AJ418 | TX | BLUE CROSS BLUE SHIELD INDIVID | |
| 166114201 | TX | -- | |
| 165059001 | TX | -- | |
| L4342 | TX | PHYSICIAN LICENSE | |
| 0004QF | TX | BCBS GROUP NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to John Kyle Dorman by the Centers for Medicare & Medicaid Services (CMS)?
The John Kyle Dorman has been assigned the NPI (National Provider Identifier) 1215030333. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where John Kyle Dorman is located?
The John Kyle Dorman is situated at the following address: 540 W 5Th St Ste 320, Odessa, TX, 797615002.
What is John Kyle Dorman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Kyle Dorman is Neurological Surgery, and the taxonomy code that categorizes this field of expertise is 207T00000X.
On what date did the John Kyle Dorman receive its 1215030333 assignment from the Centers for Medicare & Medicaid Services?
The John Kyle Dorman was assigned its 1215030333 by the Centers for Medicare & Medicaid Services on 2006-09-06.
When was the information pertaining to John Kyle Dorman most recently updated or revised?
The details related to John Kyle Dorman, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-25.
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