Provider Demographics
NPI:1376636167
Name:NORTH TEXAS NEUROSURGICAL ASSOCIATES
Entity Type:Organization
Organization Name:NORTH TEXAS NEUROSURGICAL ASSOCIATES
Other - Org Name:NEUROTREND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:C
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-239-1961
Mailing Address - Street 1:PO BOX 835390
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75083-5390
Mailing Address - Country:US
Mailing Address - Phone:214-239-1961
Mailing Address - Fax:214-561-1641
Practice Address - Street 1:1778 N PLANO RD
Practice Address - Street 2:STE 112
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-1968
Practice Address - Country:US
Practice Address - Phone:214-239-1961
Practice Address - Fax:214-561-1641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0071EEOtherBLUE CROSS BLUE SHIELD
TXH64080OtherMEDICARE RAIL ROAD GROUP
TX00604NMedicare PIN
TXH64080OtherMEDICARE RAIL ROAD GROUP
TX1376636167Medicare PIN