Healthcare Provider Details

I. General information

NPI: 1316075609
Provider Name (Legal Business Name): NEUROSURGICAL ASSOCIATES, L.L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 02/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4708 ALLIANCE BLVD SUITE 860
PLANO TX
75093-5340
US

IV. Provider business mailing address

8080 N CENTRAL EXPY SUITE 1650
DALLAS TX
75206-1838
US

V. Phone/Fax

Practice location:
  • Phone: 972-758-4980
  • Fax: 972-758-4982
Mailing address:
  • Phone: 972-860-8648
  • Fax: 972-860-8679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELLEN E FOURTON
Title or Position: DIRECTOR
Credential:
Phone: 972-860-8648