Organization
AXIS BRAIN AND BACK INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAEID ESMAEILY ARYAN DO (OWNER/PRESIDENT)
(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
207T00000X
Neurological Surgery Physician
Primary
P9148
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E4E2
BCBS
TX
01
—
7273750001
MEDICARE NSC
—
Enumeration date
05/19/2014
Last updated
08/28/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up