Organization · Type 2 NPI

Axis Brain and Back Institute PLLC

Neurological Surgery Physician · Southlake, TX

NPI number 1689085193 Active

Practice location

1110 E State Highway 114 Ste 100
Southlake, TX 76092-5251

Fax (817) 502-7412

Other practice locations

  • 2617 Scripture St Ste 102, Denton, TX 76201-2398 · (817) 502-7411
  • 1001 W Eagle Dr, Decatur, TX 76234-3745 · (817) 502-7411
  • 9525 N Beach St Ste 405, Fort Worth, TX 76244-6438 · (817) 502-7411

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XP9148 (TX)
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900XNone listed
Physical Therapist 225100000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone 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…

3 other providers at this address

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About NPI 1689085193

Axis Brain and Back Institute PLLC's National Provider Identifier is 1689085193, issued on May 19, 2014. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Southlake, TX. The record was last updated on Aug 28, 2025.