Palo Pinto Surgical Associates, P.a.
Organization Active NPI Vascular Surgery Physician · Mineral Wells, TX
NPI 1154428134 · NPPES record last updated Aug 8, 2013
Key facts
- NPI
- 1154428134
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- Legal business name
- PALO PINTO SURGICAL ASSOCIATES, P.A.
- Practice address
- 101 Holly Hill Rd
Suite a
Mineral Wells, TX 76067-5043 - Phone
- (940) 325-0742
- Fax
- (940) 328-1030
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Ralph Hamilton Brookshire III, DO
- Title
- Owner
- Phone
- (940) 325-0742
Practitioners 1
-
Arturas Bareika, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician |
2086S0129X | Yes |
Addresses
Primary practice location
101 Holly Hill Rd
Suite a
Mineral Wells, TX 76067-5043
Mailing address
101 Holly Hill Rd
Suite a
Mineral Wells, TX 76067-5043
Phone (940) 325-0742
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287567601 | Medicaid | TX |
Other providers in Mineral Wells, TX
- Palo Pinto Hospital District Community Clinic
- Palo Pinto Isd
- Palo Pinto Nursing Center, L.P.
- Palo Pinto Orthopedic Specialists, P.a.
- Palo Pinto SNF LLC
- Rebecca A Patterson
- Pecan Valley MHMR Region
- Carla Hay Perdue
- Phipps Footcare
- Yvette N Phipps
All providers in Mineral Wells, TX · Vascular Surgery Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.