Texoma Brain and Spine Surgery PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

J4930 Issued in TX

Legal business name

TEXOMA BRAIN AND SPINE SURGERY PLLC

Practice address

5012 South US Hwy 75
Suite 220
Denison, TX 75020-4598

Phone

(903) 416-6460

NPI assigned

Feb 4, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael C Molleston, MD

Title

Owner/Physician

Phone

(903) 416-6460

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1134587298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 SOUTH US HWY 75",
            "address_2": "SUITE 220",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204598",
            "telephone_number": "903-416-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 SOUTH US HWY 75",
            "address_2": "SUITE 220",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204598",
            "telephone_number": "903-416-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA BRAIN AND SPINE SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "MOLLESTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "903-416-6460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "J4930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Terhark, D.O.
• Texas Foot and Ankle Consultants LLC
• Texas Senior Care, LP
• Texas Sitters LLC
• Texoma Allergy Group, PLLC
• Texoma Brain and Spine Surgery, PLLC
• Texoma Emergency Physicians PLLC
• Texoma Foot and Ankle Specialists PA
• Texoma Heart Group, PA
• Texoma Interstate Ventures

• Neurological Surgery Physician in Denison, TX
• Providers in Denison, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.