Organization
SPINE TEXAS & NEUROLOGICAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS DAGNEW MD (PRESIDENT)
(888) 678-4704
Entity
Organization
Contact information
Practice address
111 VISION PARK BLVD, 220, SHENANDOAH, TX 77384-3002
(888) 678-4704
(888) 393-8970
Mailing address
111 VISION PARK BLVD, 220, SHENANDOAH, TX 77384-3002
(888) 678-4704
(888) 393-8970
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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