Neurosurgical and Spine Consultants, PA

NPI #1558754705 in Ft Worth, Texas

Provider Information

NPI Number: 1558754705
Entity Type: Organization
Organization Name: Neurosurgical and Spine Consultants, PA
Primary Specialty: Specialist
Enumeration Date: Mar 12, 2015
Last Updated: Jan 2, 2019

Practice Location

Address: 1001 12TH AVE
Address 2: STE 170
City: Ft Worth
State: Texas
ZIP Code: 76104-3926
Phone: (214) 373-3183

Authorized Official

Name: DIANA E WILSON, M.D.
Title: OWNER/PHYSCIAN
Phone: (817) 576-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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