Advanced Neuroscience Clinic, Pa in Midland - Physician Assistant
Advanced Neuroscience Clinic, Pa - NPI 1518003334
Advanced Neuroscience Clinic, Pa is a Physician Assistant in Midland, Texas. Advanced Neuroscience Clinic, Pa practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Advanced Neuroscience Clinic, Pa is 1518003334. The last update date is 2022-10-17.
Advanced Neuroscience Clinic, Pa's current location address is Po Box 4100, Midland, Texas. You can contact this provider via phone number 4325709991 and fax number 4325709998. The mailing address for Advanced Neuroscience Clinic, Pa is Po Box 4100, Midland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Neuroscience Clinic, Pa |
|---|---|
| Address | Po Box 4100, Midland, Texas |
| Phone Number | 4325709991 |
| Fax Number | 4325709998 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gurru L. Manoher |
| Credentials | M.D. |
| Telephone Number | 4325709991 |
NPI Number Detail
| NPI Number | 1518003334 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2022-10-17 |
Provider Mailing Address Detail
| Address | Po Box 4100 |
|---|---|
| City | Midland |
| State | Texas (TX) |
| Post Code | 79704 |
| Phone Number | 4325709991 |
| Fax Number | 4325709998 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04008 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0018HQ | TX | BCBS | |
| 149225801 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Advanced Neuroscience Clinic, Pa by the Centers for Medicare & Medicaid Services?
The Advanced Neuroscience Clinic, Pa has been issued the NPI (National Provider Identifier) 1518003334 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Advanced Neuroscience Clinic, Pa is located?
The Advanced Neuroscience Clinic, Pa is situated at the following address: Po Box 4100, Midland, TX, 79704.
What is Advanced Neuroscience Clinic, Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Advanced Neuroscience Clinic, Pa's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did Advanced Neuroscience Clinic, Pa receive its 1518003334 assignment?
The Advanced Neuroscience Clinic, Pa was assigned its 1518003334 on 2007-01-29, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Advanced Neuroscience Clinic, Pa most recently updated or revised?
The details related to Advanced Neuroscience Clinic, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2022-10-17.