Provider Demographics
NPI:1083600951
Name:DALLAS NEUROSURGICAL ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:DALLAS NEUROSURGICAL ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:S
Authorized Official - Last Name:TAUB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-750-3646
Mailing Address - Street 1:6101 W PLANO PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8201
Mailing Address - Country:US
Mailing Address - Phone:214-750-3646
Mailing Address - Fax:214-368-1610
Practice Address - Street 1:6101 W PLANO PKWY STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8201
Practice Address - Country:US
Practice Address - Phone:214-750-3646
Practice Address - Fax:214-368-1610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX081453501Medicaid
TX0096BHOtherMEDICARE PROVIDER