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FORT WORTH BRAIN & SPINE INSTITUTE LLP NPI 1770503237


NPI Information

NPI: 1770503237
Provider Name: FORT WORTH BRAIN & SPINE INSTITUTE, LLP
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
1900 MISTLETOE BLVD
SUITE 200
FORT WORTH, TX
ZIP 76104
Phone: (817) 878-5333
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FORT WORTH BRAIN & SPINE INSTITUTE, LLP is a neurological surgery in Fort Worth, TX. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. FORT WORTH BRAIN & SPINE INSTITUTE, LLP NPI is 1770503237. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1900 MISTLETOE BLVD
SUITE 200
FORT WORTH, TX
ZIP 76104-014
Phone: (817) 878-5333
Fax: (817) 878-5334

The provider's authorized official is Thomas S Ellis .
The authorized official title is President and has the following contact phone number (817) 878-5333.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 4/21/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological Surgery61650301TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1158682801OTHERTEXASTPI
2DA1062OTHERTEXASRAILROAD MEDICARE
300838UMEDICARE PINTEXAS

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: 4/28/2024

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