Provider Demographics
NPI:1518197045
Name:BIANCO BRAIN & SPINE, LLC
Entity type:Organization
Organization Name:BIANCO BRAIN & SPINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SABATINO
Authorized Official - Middle Name:
Authorized Official - Last Name:BIANCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-258-7347
Mailing Address - Street 1:1001 N WALDROP DR
Mailing Address - Street 2:SUITE 403
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4705
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2705 W ARKANSAS LN
Practice Address - Street 2:
Practice Address - City:DWG
Practice Address - State:TX
Practice Address - Zip Code:76016-5818
Practice Address - Country:US
Practice Address - Phone:817-701-4253
Practice Address - Fax:817-701-4258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-17
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A4914OtherMEDICARE PTAN