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Organization
AXIS BRAIN AND BACK INSTITUTE PLLC
Active
Organization
AXIS BRAIN AND BACK INSTITUTE PLLC
Active
Parent organization
AXIS BRAIN AND BACK INSTITUTE PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AXIS BRAIN AND BACK INSTITUTE PLLC
Authorized official
MS. AMBER MARIE MARTY (PRACTICE ADMINISTRATOR)
(817) 502-7411
Entity
Organization
Contact information
Practice address
1110 E STATE HIGHWAY 114 STE 100, SOUTHLAKE, TX 76092-5251
(817) 502-7411
(817) 502-7412
Mailing address
1110 E STATE HIGHWAY 114 STE 100, SOUTHLAKE, TX 76092-5251
(817) 502-7411
(817) 502-7412
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
08/24/2026
Last updated
08/25/2026
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