Healthcare Provider Details

I. General information

NPI: 1467322875
Provider Name (Legal Business Name): MINIMALLY INVASIVE NEUROSURGERY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 N TRAVIS ST
SHERMAN TX
75092-3757
US

IV. Provider business mailing address

1419 N TRAVIS ST
SHERMAN TX
75092-3757
US

V. Phone/Fax

Practice location:
  • Phone: 469-947-7463
  • Fax: 866-559-0952
Mailing address:
  • Phone: 469-947-7463
  • Fax: 866-559-0952

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: ABDUL BAKER
Title or Position: CEO/OWNER
Credential: MD
Phone: 469-947-7463