Provider Demographics
NPI:1639682966
Name:AMERICAN NEUROSPINE INSTITUTE PLLC
Entity Type:Organization
Organization Name:AMERICAN NEUROSPINE INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RIPUL
Authorized Official - Middle Name:RAJEN
Authorized Official - Last Name:PANCHAL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:630-865-5425
Mailing Address - Street 1:13136 DALLAS PKWY STE 540A
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4247
Mailing Address - Country:US
Mailing Address - Phone:972-806-1188
Mailing Address - Fax:888-843-8304
Practice Address - Street 1:13136 DALLAS PKWY STE 540A
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4247
Practice Address - Country:US
Practice Address - Phone:972-806-1188
Practice Address - Fax:888-843-8304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty