Provider Demographics
NPI:1598911687
Name:PLANO NEUROSURGICAL ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:PLANO NEUROSURGICAL ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:MIGNUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-473-2700
Mailing Address - Street 1:6160 WINDHAVEN PKWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8099
Mailing Address - Country:US
Mailing Address - Phone:972-473-2700
Mailing Address - Fax:972-473-9800
Practice Address - Street 1:6160 WINDHAVEN PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8099
Practice Address - Country:US
Practice Address - Phone:972-473-2700
Practice Address - Fax:972-473-9800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty