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General NPI Number Information
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NPI Number | 1518676006
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Entity Type | Organization
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Legal Business Name | TEXAS BRAIN AND SPINE INSTITUTE, PLLC
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 2705 W ARKANSAS LN
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City | DALWORTHINGTON GARDENS
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State | TX
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Zip | 76016-5818
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Country | US
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Telephone | 817-701-4253
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Fax | 817-701-4258
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Provider Business Mailing Address
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Address Line | 2705 W ARKANSAS LN
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City | DALWORTHINGTON GARDENS
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State | TX
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Zip | 76016-5818
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Country | US
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Telephone | 817-701-4253
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Fax | 817-701-4258
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Authorized Official
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Title or Position | OWNER
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Name | DR. SABATINO BIANCO
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Credential | MD
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Telephone | 817-701-4253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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