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General NPI Number Information
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NPI Number | 1467491837
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Entity Type | Organization
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Legal Business Name | NEUROSURGICAL ASSOCIATES, PLLC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 3419 22ND ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1334
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Country | US
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Telephone | 806-796-3000
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Fax | 806-796-3006
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Provider Business Mailing Address
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Address Line | PO BOX 610344
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City | DALLAS
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State | TX
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Zip | 75261-0344
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Country | US
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Telephone | 254-245-9175
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Fax | 254-213-7771
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Authorized Official
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Title or Position | PRESIDENT-AUTHORIZED OFFICIAL
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Name | SCOTT IRVINE
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Credential | DO
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Telephone | 254-245-9175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State | TX
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