institution
Neurology Care, Pc
Neurology with Special Qualifications in Child Neurology Physician in Ardmore, Oklahoma
NPI 1760584577

Neurology Care, Pc is a Neurology with Special Qualifications in Child Neurology Physician based in Ardmore, OK and is specialized in Neurology with Special Qualifications in Child Neurology. Neurology Care, Pc practices in Ardmore, OK. The NPI Number for Neurology Care, Pc is 1760584577 and holds a License No. 23163 (Oklahoma).

The current practice location address for Neurology Care, Pc is 1115 Walnut Dr, Ardmore, OK and can be reached out via phone at 580-226-5775 and via fax at 580-226-5743.

Location: 1115 Walnut Dr, Ardmore, OK, 73401-2354
institution
Provider Profile Details
NPI Number
1760584577
Provider Name
Neurology Care, Pc
Credential
Provider Entity Type
Organization
Address
1115 Walnut Dr, Ardmore, OK, 73401-2354
Phone Number
580-226-5775
Fax Number
580-226-5743
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23163 01 OK OK LICENSE #
548436293001 01 OK BCBS 12 DIGIT #
20003140A 05 OK
$$$$$$$$$ 01 OK SSN #
institution
Provider Business Practice Location Address Details
Address
1115 Walnut Dr
City
State
Zip
73401-2354
Phone Number
580-226-5775
Fax Number
580-226-5743
person
Provider Business Mailing Address Details
Address
1115 Walnut Dr
City
State
Zip
73401-2354
Phone Number
580-226-5775
Fax Number
580-226-5743
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
License No.
23163 (Oklahoma)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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