Healthcare Provider Details

I. General information

NPI: 1518197045
Provider Name (Legal Business Name): BIANCO BRAIN & SPINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2009
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2705 W ARKANSAS LN
DWG TX
76016-5818
US

IV. Provider business mailing address

1001 N WALDROP DR SUITE 403
ARLINGTON TX
76012-4705
US

V. Phone/Fax

Practice location:
  • Phone: 817-701-4253
  • Fax: 817-701-4258
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SABATINO BIANCO
Title or Position: PRESIDENT
Credential: MD
Phone: 903-258-7347