Provider Demographics
NPI:1518386804
Name:NORTH TEXAS BRAIN AND SPINE SPECIALISTS PLLC
Entity Type:Organization
Organization Name:NORTH TEXAS BRAIN AND SPINE SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:BENAE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-631-7940
Mailing Address - Street 1:8000 ELDORADO PARKWAY
Mailing Address - Street 2:BUILDING E, SUITE A
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070
Mailing Address - Country:US
Mailing Address - Phone:469-631-7940
Mailing Address - Fax:469-631-7941
Practice Address - Street 1:8000 ELDORADO PARKWAY
Practice Address - Street 2:BUILDING E, SUITE A
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070
Practice Address - Country:US
Practice Address - Phone:469-631-7940
Practice Address - Fax:469-631-7941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8855207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty