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Spine Team Texas Pa
Spinal Cord Injury Medicine Physician in Southlake, Texas
NPI 1629082995

Spine Team Texas Pa is a Spinal Cord Injury Medicine Physician based in Southlake, TX and is specialized in Spinal Cord Injury Medicine. Spine Team Texas Pa practices in Southlake, TX. The NPI Number for Spine Team Texas Pa is 1629082995 and holds a License No. (Texas).

The current practice location address for Spine Team Texas Pa is 1545 E Southlake Blvd, Southlake, TX and can be reached out via phone at 817-442-9300 and via fax at 917-416-0108.

Location: 1545 E Southlake Blvd, Southlake, TX, 76092
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629082995
Provider Name
Spine Team Texas Pa
Credential
Provider Entity Type
Organization
Address
1545 E Southlake Blvd, Southlake, TX, 76092
Phone Number
817-442-9300
Fax Number
917-416-0108
Provider Enumeration Date
07/29/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00959Z 01 TX MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1545 E Southlake Blvd
City
Southlake
State
Texas
Zip
76092
Phone Number
817-442-9300
Fax Number
917-416-0108
person
Provider Business Mailing Address Details
Address
1545 E Southlake Blvd
City
Southlake
State
Texas
Zip
76092
Phone Number
817-442-9300
Fax Number
917-416-0108
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
()
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Spinal Cord Injury Medicine
Taxonomy
2081P0004X
License No.
()
Definition
A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.
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