Organization
LONGHORN BRAIN AND SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT ALLEN BOOHER MD (PRESIDENT)
(682) 337-7463
Entity
Organization
Contact information
Practice address
1001 12TH AVE STE 168, FORT WORTH, TX 76104-3947
(682) 337-7463
(682) 337-7464
Mailing address
PO BOX 185, FORT WORTH, TX 76101-0185
(682) 337-7463
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/20/2025
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