Unknown Individual – Clinical Neurophysiology Physician, NPI 1669839312
Clinical Neurophysiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1205 S. AIR DEPOT # 102
MIDWEST CITY, OK 73110
Phone:
Type: Mailing
9600 BROADWAY EXTENSION
OKLAHOMA CITY, OK 73114
Phone: (210) 598-4277
Type: Location
1141 N LOOP 1604 E #105-612
SAN ANTONIO, TX 78232
Phone: (210) 598-4277
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73110)
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