SPINE TEAM TEXAS PA – Neurological Surgery Physician, NPI 1629082995
Neurological Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SPINE TEAM TEXAS PA
Texas Health Harris Methodist Hospital Southlake, 1545, East Southlake Boulevard, Park Village, Southlake, Tarrant County, Texas, 76092, United States
SUITE 100
SOUTHLAKE, TX 76092
Phone: (817) 442-9300
Fax: (917) 416-0108
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-12-30
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76092)
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