Provider Demographics
NPI:1619745155
Name:SPINAL ACCESS SURGEONS OF TEXAS PLLC
Entity Type:Organization
Organization Name:SPINAL ACCESS SURGEONS OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GERSON
Authorized Official - Middle Name:ORLANDO
Authorized Official - Last Name:PINEDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-269-5353
Mailing Address - Street 1:12530 LEBANON RD STE 205
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-9473
Mailing Address - Country:US
Mailing Address - Phone:214-269-5353
Mailing Address - Fax:214-269-5354
Practice Address - Street 1:12530 LEBANON RD STE 205
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-9473
Practice Address - Country:US
Practice Address - Phone:214-269-5353
Practice Address - Fax:214-269-5354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-14
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty