Immanuel Brain, Spine and Nerve Surgery, PA

NPI #1326108200 in Arlington, Texas

Provider Information

NPI Number: 1326108200
Entity Type: Organization
Organization Name: Immanuel Brain, Spine and Nerve Surgery, PA
Primary Specialty: Neurological Surgery
Enumeration Date: Dec 11, 2006
Last Updated: Mar 31, 2009

Practice Location

Address: 624 MATLOCK CENTRE CIR
City: Arlington
State: Texas
ZIP Code: 76015-2536
Phone: (817) 795-7337

Authorized Official

Name: DR. KEVIN R. TEAL, M.D.
Title: PRESIDENT
Phone: (817) 795-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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