Organization
NEURO SPINE SURGICAL ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIAS YARRITO JR. LSA (CEO)
(936) 760-6591
Entity
Organization
Contact information
Practice address
17201 I 45 S, SHENANDOAH, TX 77385-3311
(936) 270-2000
Mailing address
2300 WOODFOREST PKWY N STE 250-161, MONTGOMERY, TX 77316-6501
(936) 760-6591
(936) 588-8986
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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