Provider Demographics
NPI: | 1376009951 |
---|---|
Name: | DALLAS CENTER FOR NEURO AND SPINE EXCELLENCE LLP |
Entity Type: | Organization |
Organization Name: | DALLAS CENTER FOR NEURO AND SPINE EXCELLENCE LLP |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/PHYSICIAN |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | DAVID |
Authorized Official - Middle Name: | W |
Authorized Official - Last Name: | BARNETT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 214-728-9850 |
Mailing Address - Street 1: | 4013 CENTENARY AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | DALLAS |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75225-5430 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 214-728-9850 |
Mailing Address - Fax: | 214-361-5601 |
Practice Address - Street 1: | 4013 CENTENARY AVE |
Practice Address - Street 2: | |
Practice Address - City: | DALLAS |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75225-5430 |
Practice Address - Country: | US |
Practice Address - Phone: | 214-728-9850 |
Practice Address - Fax: | 214-361-5601 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2019-02-19 |
Last Update Date: | 2019-02-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | Group - Single Specialty |