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NEUROSURGICAL AND SPINE CONSULTANTS PA NPI 1558754705


NPI Information

NPI: 1558754705
Provider Name: NEUROSURGICAL AND SPINE CONSULTANTS, PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1001 12TH AVE
STE 170
FT WORTH, TX
ZIP 76104
Phone: (214) 373-3183
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NEUROSURGICAL AND SPINE CONSULTANTS, PA is a specialist in Ft Worth, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEUROSURGICAL AND SPINE CONSULTANTS, PA NPI is 1558754705. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 12TH AVE
STE 170
FT WORTH, TX
ZIP 76104-926
Phone: (214) 373-3183
Fax: (214) 361-5601

The provider's authorized official is Diana E Wilson .
The authorized official title is Owner/physcian and has the following contact phone number (817) 576-6500.

The enumeration date for this NPI number is 3/12/2015 and was last updated on 1/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistJ0729TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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