Provider Demographics
NPI:1053176784
Name:TEXAS NEUROLOGICAL SURGERY PLLC
Entity type:Organization
Organization Name:TEXAS NEUROLOGICAL SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-656-9041
Mailing Address - Street 1:PO BOX 262
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-0262
Mailing Address - Country:US
Mailing Address - Phone:469-656-9041
Mailing Address - Fax:469-656-9046
Practice Address - Street 1:5680 FRISCO SQUARE BLVD STE 2400
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-3300
Practice Address - Country:US
Practice Address - Phone:469-656-9041
Practice Address - Fax:469-656-9046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-21
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty