Organization · Type 2 NPI

Spine Team Texas PA

Neurological Surgery Physician · Southlake, TX

NPI number 1629082995 Active

Practice location

1545 E Southlake Blvd, Suite 100
Southlake, TX 76092

Fax (917) 416-0108

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed
Spinal Cord Injury Medicine Physician 2081P0004XNone listed

Neurological Surgery Physician: 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 opera…

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About NPI 1629082995

Spine Team Texas PA's National Provider Identifier is 1629082995, issued on Jul 29, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Southlake, TX. The record was last updated on Jul 17, 2014.