Healthcare Provider Details

I. General information

NPI: 1740469964
Provider Name (Legal Business Name): NORTH TEXAS NEUROSURGICAL CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2007
Last Update Date: 10/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W ARBROOK BLVD SUITE 150
ARLINGTON TX
76015-4327
US

IV. Provider business mailing address

800 W ARBROOK BLVD SUITE 150
ARLINGTON TX
76015-4327
US

V. Phone/Fax

Practice location:
  • Phone: 817-467-5551
  • Fax:
Mailing address:
  • Phone: 817-467-5551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberF5727
License Number StateTX

VIII. Authorized Official

Name: DR. JACOB ROSENSTEIN
Title or Position: PRESIDENT
Credential: MD
Phone: 817-467-5551