Robert Theron Funk (NPI# 1720345119, PAC ID# 1153655485) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1720345119 |
| PAC ID by PECOS | 1153655485 |
| Professional Enrollment ID | I20190620001385 |
| Full Name | Robert Theron Funk |
| Organization Legal Name | NEUROLOGICAL SURGERY SPECIALIST OF NORTH TEXAS PLLC |
| Address |
4301 Maplewood Ave Suite A Wichita Falls TX 76308-3879 |
| Phone Number | 9406968500 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 3072853910 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450010 | UNITED REGIONAL HEALTH CARE SYSTEM |
| 450827 | KELL WEST REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4301 Maplewood Ave, Suite A, Wichita Falls, TX 76308-3879 | 9406968500 | NEUROLOGICAL SURGERY SPECIALIST OF NORTH TEXAS PLLC |
| Organization Legal Name | NEUROLOGICAL SURGERY SPECIALIST OF NORTH TEXAS PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa E Bounds | Nurse Practitioner | Neurological Surgery Specialist of North Texas Pllc | 3808 Kemp Blvd, Suite A, Wichita Falls, TX 76308-2150 |
| Richard Lee Kern Jr. | Neurosurgery | Neurological Surgery Specialist of North Texas Pllc | 3808 Kemp Blvd, Suite A, Wichita Falls, TX 76308-2150 |
| Street Address |
4301 MAPLEWOOD AVE SUITE A |
| City | WICHITA FALLS |
| State | TX |
| Zip | 76308-3879 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Workman | Pain Management | 4301 Maplewood Ave, Suite A, Wichita Falls, TX 76308-3879 | |
| Cody Cure | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 4301 Maplewood Ave, Suite C, Wichita Falls, TX 76308-3879 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher W Beaver | Chiropractic | Advanced Medical Team Pa | 2934 Kemp Blvd, Wichita Falls, TX 76308-1017 |
| Rensay M Davis | Chiropractic | Advanced Medical Team Pa | 2934 Kemp Blvd, Wichita Falls, TX 76308-1017 |
| Cari Amanda Guidry | Chiropractic | Wichita Medical Group Pllc | 2934 Kemp Blvd, Wichita Falls, TX 76308-1017 |
| Richard J Kownacki | Clinical Psychologist | 2910 Kemp Blvd, Suite 210, Wichita Falls, TX 76308-1050 | |
| Kenneth M Warnock | General Surgery | Bariatrics of Wichita Falls Pa | 2004 Berkley Dr, Wichita Falls, TX 76308-1309 |
| Kimberly A Mercer | Nurse Practitioner | Bariatrics of Wichita Falls Pa | 2004 Berkley Dr, Wichita Falls, TX 76308-1309 |
| Linda A Reinhardt | Dermatology | 2601 Harrison St, Suite 500, Wichita Falls, TX 76308-1360 | |
| Robert Lee Birk | Chiropractic | 3411 Mcniel Ave, Suite 201, Wichita Falls, TX 76308-1500 | |
| Thomas E Labbe | Optometry | Labbe Optometric Clinic,inc. | 3130 Lawrence Rd, Wichita Falls, TX 76308-1607 |
| Larry Dale Gunnell | Optometry | 3631 Maplewood Ave, Suite 2, Wichita Falls, TX 76308-2149 | |
| Find all physicians in zip 76308 | |||
| City | WICHITA FALLS |
| Zip Code | 76308 |
| Specialty | NEUROSURGERY |
| City + Specialty | WICHITA FALLS + NEUROSURGERY |
Please comment or provide details below to improve the information on Robert Theron Funk.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.