Healthcare Provider Details

I. General information

NPI: 1932570975
Provider Name (Legal Business Name): NEUROSURGERY HEALTH SERVICES PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2015
Last Update Date: 10/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 PLYMOUTH AVE NE
GRAND RAPIDS MI
49505-6038
US

IV. Provider business mailing address

PO BOX 9879
SPRING TX
77387-6879
US

V. Phone/Fax

Practice location:
  • Phone: 800-785-8765
  • Fax: 281-820-1901
Mailing address:
  • Phone: 800-785-8765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: THOMAS MESSINK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 616-454-3465