Provider Demographics
NPI:1487826541
Name:NORTH AMERICAN NEUROSUGERY ASSOCIATES OF TEXAS, PLLC
Entity Type:Organization
Organization Name:NORTH AMERICAN NEUROSUGERY ASSOCIATES OF TEXAS, PLLC
Other - Org Name:NORTH AMERICAN NEUROSUGERY ASSOCIATES, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:LICENSED SURGEON'S ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:FRIERSON
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LSA
Authorized Official - Phone:713-705-9655
Mailing Address - Street 1:PO BOX 541961
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77254-1961
Mailing Address - Country:US
Mailing Address - Phone:713-705-9655
Mailing Address - Fax:281-239-3693
Practice Address - Street 1:114 WATER BLUFF LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-2197
Practice Address - Country:US
Practice Address - Phone:713-705-9655
Practice Address - Fax:281-239-3693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-29
Last Update Date:2008-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA-0098174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty