| NPI | 1134587298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C MOLLESTON Owner/Physician 903-416-6460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX J4930) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |