Provider Demographics
NPI:1053076950
Name:MINIMALLY INVASIVE NEUROSURGERY PLLC
Entity Type:Organization
Organization Name:MINIMALLY INVASIVE NEUROSURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-227-1679
Mailing Address - Street 1:1811 MEADOW RANCH RD
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-6498
Mailing Address - Country:US
Mailing Address - Phone:469-947-7463
Mailing Address - Fax:
Practice Address - Street 1:600 E TAYLOR ST STE 308
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2826
Practice Address - Country:US
Practice Address - Phone:469-947-7463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty