Healthcare Provider Details

I. General information

NPI: 1144575317
Provider Name (Legal Business Name): OK NEUROSURGERY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2012
Last Update Date: 07/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 FM 1960 BYPASS RD W STE 304
HUMBLE TX
77338-4018
US

IV. Provider business mailing address

12121 RICHMOND AVE SUITE 324
HOUSTON TX
77082-2432
US

V. Phone/Fax

Practice location:
  • Phone: 281-870-9292
  • Fax: 281-870-8493
Mailing address:
  • Phone: 281-870-9292
  • Fax: 281-870-8493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GARY E KRAUS
Title or Position: PRESIDENT
Credential: MD
Phone: 281-870-9292