MEDICARE: BIANCO BRAIN & SPINE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0A4914	OTHER	TX	MEDICARE PTAN

General Provider Information

NPI Number	:	1518197045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIANCO BRAIN & SPINE, LLC

Provider Business Mailing Address
First Line	:	1001 N WALDROP DR
Second Line	:	SUITE 403
City	:	ARLINGTON
State	:	TX
Zip	:	76012-4705
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2705 W ARKANSAS LN
Second Line	:
City	:	DWG
State	:	TX
Zip	:	76016-5818
Country	:	US
Telephone Number	:	817-701-4253
Fax Number	:	817-701-4258

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SABATINO BIANCO
Credential	:	MD
Telephone Number	:	903-258-7347

Provider Enumeration Date	:	07/17/2009
Last Update Date	:	02/20/2025

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