Provider Demographics
NPI:1558660910
Name:NEUROLOGICAL SURGEONS OF TEXAS, PLLC
Entity Type:Organization
Organization Name:NEUROLOGICAL SURGEONS OF TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF PLLC
Authorized Official - Prefix:
Authorized Official - First Name:SOREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SINGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-502-2506
Mailing Address - Street 1:2600 E SOUTHLAKE BLVD
Mailing Address - Street 2:120-365
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6634
Mailing Address - Country:US
Mailing Address - Phone:888-502-2506
Mailing Address - Fax:888-502-2506
Practice Address - Street 1:3101 CHURCHILL DR
Practice Address - Street 2:STE 220
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-2799
Practice Address - Country:US
Practice Address - Phone:888-502-2506
Practice Address - Fax:888-502-2506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB129912OtherGROUP PTAN