Organization
NEUROSURGICAL AND SPINE CONSULTANTS, PA
Active
Other names
Neurosurgical & Spine Consultants, PA
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTYL CHANCE (PRACTICE MANAGER)
(817) 715-0409
Entity
Organization
Contact information
Practice address
1001 12TH AVE STE 171, FORT WORTH, TX 76104-3926
(817) 576-6500
(682) 703-2064
Mailing address
1001 12TH AVE STE 171, FORT WORTH, TX 76104-3926
(817) 576-6500
(682) 703-2064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129595806
—
TX
Enumeration date
03/20/2007
Last updated
05/21/2025
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