MEDICARE: NEUROLOGIC & SPINE INSTITUTE

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
3	CS0520	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00C45S	OTHER	TX	BCBS
2	00G62P	OTHER	LA	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861609018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROLOGIC & SPINE INSTITUTE

Provider Business Mailing Address
First Line	:	PO BOX 2432
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75091-2432
Country	:	US
Telephone Number	:	903-893-5177
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 E TAYLOR
Second Line	:	SUITE 3008
City	:	SHERMAN
State	:	TX
Zip	:	75090
Country	:	US
Telephone Number	:	903-893-5177
Fax Number	:	903-813-0210

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID RAMSEY
Credential	:	MD
Telephone Number	:	903-893-5177

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	03/10/2017

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Directions to “NEUROLOGIC & SPINE INSTITUTE ” Practice Location

Language	Start Address	Practice Location

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