HomeNPI Verification

NPI Verification

National Provider Identifier: 1205366853

Mustang Multispecialty Accociation

Organization

Primary Specialty

Neuromusculoskeletal Medicine & OMM

Code: 204D00000X

All Specialties (10)

Registered Nurse, General Practice

Code: 163WG0000X

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Infectious Disease

Code: 207RI0200X

Internal Medicine, Nephrology

Code: 207RN0300X

Pediatrics

Code: 208000000X

Surgery

Code: 208600000X

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Code: 208G00000X

Hospitalist

Code: 208M00000X

Neuromusculoskeletal Medicine & OMM

Code: 204D00000X

Primary

Practice Address

1104 E STATE HIGHWAY 152 UNIT 2

MUSTANG, OK 730645116

Phone: 855-541-2862

NPI Enumeration Date

June 15, 2017

NPI Number

1205366853

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry