Immanuel Brain, Spine And Nerve Surgery, Pa

LBN: Immanuel Brain, Spine And Nerve Surgery, Pa
Immanuel Brain, Spine And Nerve Surgery, Pa is an health care organization with primary practice located at 624 Matlock Centre Cir , Arlington TX 76015-2536. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Immanuel Brain, Spine And Nerve Surgery, Pa can be contacted via phone (817) 795-7337, or through Teal, Kevin R. via phone (817) 795-7337.

Contact Information

Primary practice address
624 Matlock Centre Cir Arlington TX 76015-2536
Phone: (817) 795-7337
Fax: (817) 795-8393
Website:
Map and Directions
Authorized official contact:
Name: Teal, Kevin R. Doctor of Medicine (MD)
Phone: (817) 795-7337

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X J2368 Texas

Profile Details

NPI number 1326108200
LBN Legal business name Immanuel Brain, Spine And Nerve Surgery, Pa
DBA Doing business as
Authorized official Teal, Kevin R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Mar 31st, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326108200 NPPES
Texas MEDICAID 161312701

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