Healthcare Provider Details

I. General information

NPI: 1710312806
Provider Name (Legal Business Name): ATLAS SURGICAL NEUROMONITORING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2013
Last Update Date: 11/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 W BEDFRD EULES RD
HURST TX
76053-3939
US

IV. Provider business mailing address

PO BOX 2016301
DALLAS TX
75320-6301
US

V. Phone/Fax

Practice location:
  • Phone: 281-324-5660
  • Fax: 281-324-5679
Mailing address:
  • Phone: 281-324-5660
  • Fax: 281-324-5679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: CHARLES C NEFF
Title or Position: DIRECTOR
Credential:
Phone: 817-485-5100