Organization
HEALTHTEXAS PROVIDER NETWORK - NEUROSURGICAL ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN ELIZABETH FOURTON (DIRECTOR)
(972) 860-8649
Entity
Organization
Contact information
Practice address
4708 ALLIANCE BLVD, BAYLOR MEDICAL PLAZA 1, STE 860, PLANO, TX 75093-5345
(972) 758-4980
(972) 758-4982
Mailing address
8080 N CENTRAL EXPY, LB 82, STE 1650, DALLAS, TX 75206-3789
(972) 860-8653
(972) 860-8679
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
00118Y
TX
2085R0001X
Radiation Oncology Physician
00118Y
TX
Other
Enumeration date
06/20/2005
Last updated
09/11/2025
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