Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeastern Oklahoma Neurosciences

Organization Neurological Surgery Physician · NPI 1609048545

Southeastern Oklahoma Neurosciences is a Neurological Surgery Physician in Ada, Oklahoma. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

520 N Monte Vista St Ste C
Ada, OK 74820-4674
Phone: (580) 272-0018
Fax: (580) 272-0657
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1609048545
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimball Pratt — Physician · (580) 272-0018
NPI enumeratedApril 1, 2008
Last updated in NPPESSeptember 12, 2008
Mailing addressPo Box 1405, Ada, OK 74821