MEDICARE: TEXAS SPINE & NEUROSURGERY CENTER, P.A.

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	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0031JV	OTHER	TX	BCBSTX

General Provider Information

NPI Number	:	1710917174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS SPINE & NEUROSURGERY CENTER, P.A.

Provider Business Mailing Address
First Line	:	16605 SOUTHWEST FWY STE 285
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3500
Country	:	US
Telephone Number	:	281-313-0031
Fax Number	:	281-313-0032

Provider Business Practice Location Address
First Line	:	16605 SOUTHWEST FWY
Second Line	:	SUITE 285
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3501
Country	:	US
Telephone Number	:	281-313-0031
Fax Number	:	281-313-0032

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	BHAVNA BINDAL
Credential	:
Telephone Number	:	281-313-0031

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	08/28/2024

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Directions to “TEXAS SPINE & NEUROSURGERY CENTER, P.A. ” Practice Location

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