Provider Demographics
NPI:1922180462
Name:NEUROSURGICAL GROUP OF TEXAS, LLP
Entity Type:Organization
Organization Name:NEUROSURGICAL GROUP OF TEXAS, LLP
Other - Org Name:NEUROSURGICAL GROUP OF TEXAS, LLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:CMPE
Authorized Official - Phone:713-790-1211
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-790-1211
Mailing Address - Fax:713-799-1749
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-790-1211
Practice Address - Fax:713-799-1749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty