Provider Demographics
NPI:1851300859
Name:ARMSTRONG, IAN I (MD)
Entity Type:Individual
Prefix:MR
First Name:IAN
Middle Name:I
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 KEMP BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-2170
Mailing Address - Country:US
Mailing Address - Phone:940-234-3000
Mailing Address - Fax:310-996-0224
Practice Address - Street 1:3808 KEMP BLVD STE A
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-2170
Practice Address - Country:US
Practice Address - Phone:940-234-3000
Practice Address - Fax:310-996-0224
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAWA50707C207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW13273Medicare ID - Type Unspecified
F28864Medicare UPIN